Individual
ASHLEY ELIZABETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-C
Contact information
Practice address
222 BOSTON TPKE, SHREWSBURY, MA 01545
(508) 853-2854
(508) 853-4354
Mailing address
5 NEPONSET ST FL ST2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 853-4354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN283013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110130046A
—
MA
Enumeration date
10/02/2017
Last updated
03/28/2019
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