Fuller, Melinda S

Fuller, Melinda S is an individual health care provider with primary practice located at 2350 Freedom Way Suite 202, York PA 17402-8200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fuller, Melinda S can be contacted via phone (717) 851-2465.

Contact Information

Primary practice address
2350 Freedom Way Suite 202 York PA 17402-8200
Phone: (717) 851-2465
Fax: (717) 741-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP011669 Pennsylvania

Profile Details

NPI number 1639447691
LBN Legal business name Fuller, Melinda S
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2011
Last updated Jun 13th, 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 1639447691 NPPES
Pennsylvania Other 1605971 GATEWAY MEDICARE ASSURED
Pennsylvania Other 2682788 GATEWAY MEDICARE ASSURED

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