Individual
KAREN RENEE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
415 S POLLARD ST, VINTON, VA 24179-2502
(540) 983-6700
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001205224
VA
Other
Enumeration date
03/03/2020
Last updated
07/16/2021
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