Fuller, Beverly June

Fuller, Beverly June is an individual health care provider with primary practice located at 1160 Se 18Th Pl Ocala Endoscopy Center, Ocala FL 32071. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fuller, Beverly June can be contacted via phone (352) 732-8905.

Contact Information

Primary practice address
1160 Se 18Th Pl Ocala Endoscopy Center Ocala FL 32071
Phone: (352) 732-8905
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 999812 Florida

Profile Details

NPI number 1851364590
LBN Legal business name Fuller, Beverly June
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated May 5th, 2008 - about 16 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 1851364590 NPPES
Florida MEDICAID 034147900

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