Individual
ALEXANDRA FULLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
(602) 344-1423
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6467
AZ
363AM0700X
Medical Physician Assistant
6467
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225231
—
AZ
Enumeration date
09/22/2016
Last updated
09/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us