Individual
DEBORAH JOAN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7 MUNICIPAL WAY, EDGEWOOD, NM 87015
(505) 281-3406
(505) 286-3329
Mailing address
2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
(505) 281-3406
(505) 286-3329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R42788
NM
Other
Enumeration date
11/18/2005
Last updated
06/21/2019
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