person
Ms. Laura Marie Fullerton, APN
Family Nurse Practitioner in Peoria, Illinois
NPI 1356406144

Laura Marie Fullerton is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Laura Marie Fullerton practices in Peoria, IL and has the professional credentials of APN. The NPI Number for Laura Marie Fullerton is 1356406144 and holds a License No. 209-001938 (Illinois).

The current practice location address for Laura Marie Fullerton is 2321 N Wisconsin Ave, Peoria, IL and can be reached out via phone at 309-680-7600 and via fax at 309-681-4681.

Location: 2321 N Wisconsin Ave, Peoria, IL, 61604-3221
person
Provider Profile Details
NPI Number
1356406144
Provider Name
Laura Marie Fullerton
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2321 N Wisconsin Ave, Peoria, IL, 61604-3221
Phone Number
309-680-7600
Fax Number
309-681-4681
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2321 N Wisconsin Ave
City
State
Zip
61603
Phone Number
309-680-7600
Fax Number
309-681-4681
person
Provider Business Mailing Address Details
Address
2321 N Wisconsin Ave
City
State
Zip
61603
Phone Number
309-680-7600
Fax Number
309-681-4681
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209-001938 (Illinois)
Definition
Definition to come...
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