Fuller, Brianna Katherine

Fuller, Brianna Katherine is an individual health care provider with primary practice located at 71 Prospect Avenue , Hudson NY 12534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fuller, Brianna Katherine can be contacted via phone (518) 758-6101.

Contact Information

Primary practice address
71 Prospect Avenue Hudson NY 12534
Phone: (518) 758-6101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012528 New York

Profile Details

NPI number 1215137591
LBN Legal business name Fuller, Brianna Katherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Mar 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215137591 NPPES
New York Other 012528 LICENSE

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