Individual
TAWNI L. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A
Contact information
Practice address
410 W 10TH AVE, N411 DOAN HALL, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
410 W 10TH AVE, N411 DOAN HALL, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.333366
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.13453-NA
OH
Other
Enumeration date
05/09/2012
Last updated
07/06/2012
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