Individual
EMILY A FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2000
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN229306
GA
367500000X
Certified Registered Nurse Anesthetist
RN229306
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN712729
PA
Other
Enumeration date
06/10/2017
Last updated
12/08/2025
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