Fuller, Susan A

Fuller, Susan A is an sole proprietor health care provider with primary practice located at 300 Mack Rd , Asheboro NC 27205-1066. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fuller, Susan A can be contacted via phone (336) 625-1172.

Contact Information

Primary practice address
300 Mack Rd Asheboro NC 27205-1066
Phone: (336) 625-1172
Fax: (336) 625-6434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200909 North Carolina

Profile Details

NPI number 1013082288
LBN Legal business name Fuller, Susan A
Credentials DNP, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Sep 20th, 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 1013082288 NPPES
North Carolina MEDICAID 7003515

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