Individual
NORA MARIA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 730-6970
Mailing address
420 AVENUE F, BOGALUSA, LA 70427-3634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1912600610
LA
207Q00000X
Family Medicine Physician
1912600610
ME
Other
Enumeration date
03/23/2023
Last updated
12/16/2025
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