Individual
OLIVIA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
961 22ND AVE APT 13, CORALVILLE, IA 52241-1560
(319) 325-2835
Mailing address
961 22ND AVE APT 13, CORALVILLE, IA 52241-1560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172040
IA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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