Fuller, Kathleen Marie

Fuller, Kathleen Marie is an individual health care provider with primary practice located at 300 Congress St Suite 102, Quincy MA 02169-0907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fuller, Kathleen Marie can be contacted via phone (617) 479-6636.

Contact Information

Primary practice address
300 Congress St Suite 102 Quincy MA 02169-0907
Phone: (617) 479-6636
Fax: (617) 376-0435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN2297885 Massachusetts

Profile Details

NPI number 1689638371
LBN Legal business name Fuller, Kathleen Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Nov 22nd, 2016 - about 8 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 1689638371 NPPES
Massachusetts Other RN2297885 NURSE PRACTITIONER LICENSE

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