Individual
CHRISTOPHER DAMIEN FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP, PMHNP-BC
Contact information
Practice address
3459 5TH AVE STE EAST412, PITTSBURGH, PA 15213-3236
(412) 692-4200
(412) 692-4223
Mailing address
1146 CORNELL ST, PITTSBURGH, PA 15212-1981
(717) 830-8424
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025503
PA
Other
Enumeration date
04/05/2022
Last updated
07/19/2023
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