Individual
RENEE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
HIGHWAY 160, MILE POST 394.3, KAYENTA, AZ 86033
(928) 697-4000
(928) 697-4018
Mailing address
HIGHWAY 160 AND MILE POST 394.3, KAYENTA ALTERNATIVE RURAL HOSPITAL, KAYENTA, AZ 86033
(928) 697-4000
(928) 697-4018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN098458
AZ
Other
Enumeration date
01/14/2008
Last updated
05/02/2024
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