Fuller, Angela

Fuller, Angela is an sole proprietor health care provider with primary practice located at 1923 Port Royal Dr , Soddy Daisy TN 37379-8836. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuller, Angela can be contacted via phone (423) 602-1544.

Contact Information

Primary practice address
1923 Port Royal Dr Soddy Daisy TN 37379-8836
Phone: (423) 602-1544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25268 Tennessee

Profile Details

NPI number 1265991764
LBN Legal business name Fuller, Angela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2019
Last updated Mar 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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