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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215137591 | NPPES |
| New York | Other | 012528 | LICENSE |
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