Individual
MRS. CHRISTINA LAUREN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(864) 680-9674
Mailing address
6716 PLEASANT DR, CHARLOTTE, NC 28211-4734
(864) 680-9674
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
080644
SC
Other
Enumeration date
12/23/2008
Last updated
10/27/2020
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