Individual
MS. JULIA DARLENE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-7890
(717) 544-7151
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-7890
(717) 544-7151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-322584L
PA
367500000X
Certified Registered Nurse Anesthetist
RN321584L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001513341
—
PA
Enumeration date
12/21/2005
Last updated
01/11/2022
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