# BRIAN FULLGRAF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851988745
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | 78707 | NV | — |
| 172V00000X | Community Health Worker | CHW1-5089 | NV | — |
| 175T00000X | Peer Specialist | PRSS-INT-5020 | NV | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |

## Other

- **Enumeration date:** 12/25/2020
- **Last updated:** 08/27/2024