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Angelia Fuller, ARNP
Family Nurse Practitioner in St Augustine, Florida
NPI 1366866204

Angelia Fuller is a Family Nurse Practitioner based in St Augustine, FL and is specialized in Family. Angelia Fuller practices in St Augustine, FL and has the professional credentials of ARNP. The NPI Number for Angelia Fuller is 1366866204 and holds a License No. ARNP9170137 (Florida).

The current practice location address for Angelia Fuller is 1750 Tree Blvd Ste 5, St Augustine, FL and can be reached out via phone at 904-342-0672.

Location: 1750 Tree Blvd Ste 5, St Augustine, FL, 32084-5719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366866204
Provider Name
Angelia Fuller
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1750 Tree Blvd Ste 5, St Augustine, FL, 32084-5719
Phone Number
904-342-0672
Fax Number
Provider Enumeration Date
02/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102979000 05 FL
institution
Provider Business Practice Location Address Details
Address
1750 Tree Blvd Ste 5
City
St Augustine
State
Florida
Zip
32084-5719
Phone Number
904-342-0672
Fax Number
person
Provider Business Mailing Address Details
Address
1750 Tree Blvd Ste 5
City
St Augustine
State
Florida
Zip
32084-5719
Phone Number
904-342-0672
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9170137 (Florida)
Definition
Definition to come...
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