Individual
MRS. KATHLEEN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
700 S WASHINGTON ST STE 330, ALEXANDRIA, VA 22314-4252
(703) 528-8260
Mailing address
700 S WASHINGTON ST STE 330, ALEXANDRIA, VA 22314-4252
(703) 528-8260
(703) 528-8267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175814
VA
Other
Enumeration date
02/08/2018
Last updated
02/23/2021
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