Courtney R Fuller, PA-C
Physician Assistant in Raynham, Massachusetts
1265944227- Practice location
- 675 Paramount Dr Ste 205, Raynham, MA 02767-5416
- Phone
- 617-798-6500
- Fax
- 617-798-6500
- Last updated
- March 21, 2025
Courtney R Fuller is a Physician Assistant based in Raynham, MA. Courtney R Fuller practices in Raynham, MA and has the professional credentials of PA-C. The NPI Number for Courtney R Fuller is 1265944227 and holds a License No. PA6288 (MA). The current practice location address for Courtney R Fuller is 675 Paramount Dr Ste 205, Raynham, MA 02767-5416 and can be reached out via phone at 617-798-6500 and via fax at 617-798-6500.
Provider Profile Details
- NPI Number
- 1265944227
- Provider Name
- Courtney R Fuller
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 675 Paramount Dr Ste 205, Raynham, MA 02767-5416
- Phone Number
- 617-798-6500
- Fax Number
- 617-798-6500
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 31, 2017
- Last Update Date
- March 21, 2025
- Certification Date
- March 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 675 Paramount Dr Ste 205
Raynham, MA 02767-5416 - City
- Raynham
- State
- Massachusetts
- Zip
- 02767-5416
- Phone Number
- 617-798-6500
- Fax Number
- 617-798-6500
Provider Business Mailing Address Details
- Address
- 675 Paramount Dr Ste 205
Raynham, MA 02767-5416 - City
- Raynham
- State
- MA
- Zip
- 02767-5416
- Phone Number
- 508-996-3991
License Information
- License Number
- PA6288
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Courtney R Fuller, PA-C?
The NPI number of Courtney R Fuller, PA-C is 1265944227. It was assigned on October 31, 2017 and is currently active in the NPPES registry.
What is the specialty of Courtney R Fuller, PA-C?
Courtney R Fuller, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6288.
Where does Courtney R Fuller, PA-C practice?
The practice location is 675 Paramount Dr Ste 205, Raynham, MA 02767-5416. The office can be reached at 617-798-6500 (phone) or 617-798-6500 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265944227 directly on the NPPES registry website.