Individual
CARRIE E FULLER
Active
Individual
CARRIE E FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN-310907-COA1
OH
Other
Enumeration date
05/14/2007
Last updated
03/11/2026
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