Individual
ROBIN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
180 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4540
(207) 859-8721
Mailing address
25811 CRIPPEN DR, LAND O LAKES, FL 34639-5723
(717) 882-9122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11003124
FL
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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