Individual
KAYLA LEANN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1207 N DOUGLASS ST, MALDEN, MO 63863-1351
(573) 276-3884
Mailing address
1054 STATE HIGHWAY 25, BERNIE, MO 63822-7215
(573) 281-9637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020018079
MO
Other
Enumeration date
04/20/2021
Last updated
02/22/2024
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