Individual
MRS. CASSIE NICOLE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2911 N FOREST SERVICE RD. 287, MIAMI, AZ 85539
(928) 961-3641
Mailing address
PO BOX 100, MIAMI, AZ 85539-0100
(928) 961-3641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
337698
AZ
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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