Individual
ELISE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9100 BABCOCK BLVD, PITTSBURGH, PA 15237-5815
(412) 367-6700
Mailing address
208 ZEHNER SCHOOL RD, ZELIENOPLE, PA 16063-2722
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP026073
PA
Other
Enumeration date
08/08/2022
Last updated
09/17/2024
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