Individual
MRS. MARGARET MAEVE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
201 S MARKET ST, OTTUMWA, IA 52501-2946
(641) 683-5773
Mailing address
201 S MARKET ST, OTTUMWA, IA 52501-2946
(641) 683-5773
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G157788
IA
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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