# CHERYL ALLEN FULLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841386604
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | RN186250L | PA | — |
| 363L00000X | Nurse Practitioner | TP001357B | PA | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | TP001357B | PA | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 02/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016466420006 | — | PA |
| 05 | — | 0016466420007 | — | PA |
| 05 | — | 1007678420035 | — | PA |
| 05 | — | 1007678420043 | — | PA |