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Individual

MRS. ROSMARIE ANN FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC,MSN,APRN,IBCLC

Contact information

Practice address
83 HERRICK ST, BEVERLY, MA 01915-2757
(978) 927-4980
(978) 922-9115
Mailing address
83 HERRICK ST, BEVERLY, MA 01915-2757
(978) 927-4980
(978) 922-9115

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
188948
MA

Other

Enumeration date
11/05/2007
Last updated
11/05/2007
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