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Angela Fuller
Family Nurse Practitioner in Soddy Daisy, Tennessee
NPI 1265991764

Angela Fuller is a Family Nurse Practitioner based in Soddy Daisy, TN and is specialized in Family. Angela Fuller practices in Soddy Daisy, TN. The NPI Number for Angela Fuller is 1265991764 and holds a License No. 25268 (Tennessee).

The current practice location address for Angela Fuller is 1923 Port Royal Dr, Soddy Daisy, TN and can be reached out via phone at 423-602-1544.

Location: 1923 Port Royal Dr, Soddy Daisy, TN, 37379-8836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265991764
Provider Name
Angela Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
1923 Port Royal Dr, Soddy Daisy, TN, 37379-8836
Phone Number
423-602-1544
Fax Number
Provider Enumeration Date
03/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1923 Port Royal Dr
City
Soddy Daisy
State
Tennessee
Zip
37379-8836
Phone Number
423-602-1544
Fax Number
person
Provider Business Mailing Address Details
Address
1923 Port Royal Dr
City
Soddy Daisy
State
Tennessee
Zip
37379-8836
Phone Number
423-602-1544
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
25268 (Tennessee)
Definition
Definition to come...
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