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Individual

MS. MICHELLE ANNE FULLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
460 W 10TH AVE, COLUMBUS, OH 43210
(614) 293-3196
(614) 293-4812
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3196

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
326109
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.02037
OH

Other

Enumeration date
04/16/2018
Last updated
01/07/2025
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