Individual
CHERYL K FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CDE
Contact information
Practice address
640 FLORMANN ST, RAPID CITY, SD 57701-4679
(605) 755-3300
(605) 755-3129
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001051
SD
Other
Enumeration date
10/26/2005
Last updated
04/19/2019
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