Individual
CARA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1917 CANDY LN, SURFSIDE BEACH, SC 29575-5318
(845) 650-9984
Mailing address
1917 CANDY LN, SURFSIDE BEACH, SC 29575-5318
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
280007
SC
251J00000X
Nursing Care Agency
280007
SC
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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