Individual
KRISTEN MCDANIEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3316 HIGHWAY 280, ALEXANDER CITY, AL 35010-3369
(256) 329-7146
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-7235
(205) 989-1080
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-126963
AL
Other
Enumeration date
06/23/2015
Last updated
03/16/2017
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