Individual
BRANDI C FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
255 S ROUTT ST STE 250, LAKEWOOD, CO 80228-2271
(720) 712-0306
Mailing address
3300 N TRIUMPH BLVD STE 500, LEHI, UT 84043-6475
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0996999NP
CO
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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