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Organization
FULLER CARE NOW, LLC
Active
Organization
FULLER CARE NOW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RENEE FULLER FNP-C (OWNER)
(214) 405-5556
Entity
Organization
Contact information
Practice address
11617 GROSVENOR LN # 1B, RICHMOND HILL, NY 11418-3510
(214) 405-5556
Mailing address
11617 GROSVENOR LN # 1B, RICHMOND HILL, NY 11418-3510
(214) 405-5556
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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