Individual
ALLISON NICOLE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5683
(928) 855-8185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
325631
AZ
Other
Enumeration date
07/26/2022
Last updated
09/10/2025
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