Individual
MR. TODD FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.N., ACNP-BC
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5283
(614) 566-3638
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
296881
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
13037
OH
Other
Enumeration date
09/10/2012
Last updated
01/25/2022
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