Individual
ALISON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
198 E 121ST ST FL 5, NEW YORK, NY 10035-3523
(212) 803-3000
(646) 335-0672
Mailing address
198 E 121ST ST FL 5, NEW YORK, NY 10035-3523
(212) 803-3000
(646) 335-0672
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
1628063
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406324-01
NY
Other
Enumeration date
03/28/2015
Last updated
01/20/2025
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