Fullerton, Laura Marie

Fullerton, Laura Marie is an individual health care provider with primary practice located at 2321 N Wisconsin Ave , Peoria IL 61603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fullerton, Laura Marie can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
2321 N Wisconsin Ave Peoria IL 61603
Phone: (309) 680-7600
Fax: (309) 681-4681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-001938 Illinois

Profile Details

NPI number 1356406144
LBN Legal business name Fullerton, Laura Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 25th, 2018 - about 6 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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