Individual
SHERRI FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
303 E NICOLLET BLVD, SUITE 200, BURNSVILLE, MN 55337-4522
(952) 460-4000
(952) 460-4000
Mailing address
303 E NICOLLET BLVD, SUITE 200, BURNSVILLE, MN 55337-4522
(952) 460-4000
(952) 460-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R1104617
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126518100
—
MN
Enumeration date
07/11/2006
Last updated
04/11/2012
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