Individual
MS. CATHY M FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1110 N HENNESS RD LOT 1269, CASA GRANDE, AZ 85122-5559
(520) 876-7269
Mailing address
1110 N HENNESS RD LOT 1269, CASA GRANDE, AZ 85122-5559
(520) 876-7269
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3750
AZ
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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