Individual
MS. TERRI FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
694 RT 15 S. PLAZA, SUITE 105, LAKE HOPATCONG, NJ 07849
(973) 288-1550
(973) 288-1552
Mailing address
694 STATE ROUTE 15 S, SUITE 105, LAKE HOPATCONG, NJ 07849-2249
(973) 288-1550
(973) 288-1552
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NN07087000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891096848
ADVANCED WOMEN'S HEALTH, LLC GROUP PIN
NJ
01
—
814813177
TFNP,INC
NJ
Enumeration date
07/13/2006
Last updated
07/16/2019
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