Individual
MS. DENISE MARIE FULLER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10000 BAY PINES VAMC, BAY PINES, FL 33744
(727) 398-6661
(727) 319-1139
Mailing address
14422 86TH AVE, SEMINOLE, FL 33776-1934
(727) 385-0749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1970842
FL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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