Individual
SUSAN FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AC000097
MD
363L00000X
Nurse Practitioner
Primary
LG0000136
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046973
—
NJ
05
—
1000024659
—
DE
05
—
404275100
—
MD
Enumeration date
10/05/2005
Last updated
06/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us