Individual
JULIA LYNN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655
(425) 563-0963
Mailing address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61386304
WA
Other
Enumeration date
05/03/2023
Last updated
06/14/2024
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