Individual
MS. VALERIE J FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-4078
Mailing address
8 STREAMWOOD LANE, FALMOUTH, ME 04105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81373
ME
363LF0000X
Family Nurse Practitioner
R048123
ME
Other
Enumeration date
10/03/2006
Last updated
04/17/2014
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