Fuller, Ashley

Fuller, Ashley is an individual health care provider with primary practice located at 925 S 4Th St , Clinton IA 52732-5726. 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, Ashley can be contacted via phone (563) 336-3000.

Contact Information

Primary practice address
925 S 4Th St Clinton IA 52732-5726
Phone: (563) 336-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-124228 Iowa

Profile Details

NPI number 1235514258
LBN Legal business name Fuller, Ashley
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated Aug 7th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235514258 NPPES
Iowa MEDICAID 1932193224
Iowa MEDICAID PENDING

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