Individual
DEBRA JOHNSON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
105 W 8TH AVE, SUITE 7050, SPOKANE, WA 99204-2341
(509) 252-1711
(509) 747-0416
Mailing address
105 W 8TH AVE, SUITE 7050, SPOKANE, WA 99204-2341
(509) 252-1711
(509) 747-0416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60228998
WA
Other
Enumeration date
08/26/2011
Last updated
11/03/2016
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