Individual
CHRISTINA LEIGH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1801 STATE ROUTE 17C, OWEGO, NY 13827-3900
(607) 751-4474
Mailing address
1801 STATE ROUTE 17C, OWEGO, NY 13827-3900
(607) 751-4474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342235
NY
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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