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Colleen D. Fullerton, NP
Family Nurse Practitioner in Providence, Rhode Island
NPI 1528139730

Colleen D. Fullerton is a Family Nurse Practitioner based in Providence, RI and is specialized in Family. Colleen D. Fullerton practices in Providence, RI and has the professional credentials of NP. The NPI Number for Colleen D. Fullerton is 1528139730 and holds a License No. 37214 (Rhode Island).

The current practice location address for Colleen D. Fullerton is 33 Staniford St, Providence, RI and can be reached out via phone at 401-421-8800 and via fax at 401-273-6510.

Location: 33 Staniford St, Providence, RI, 02905-3105
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Provider Profile Details
NPI Number
1528139730
Provider Name
Colleen D. Fullerton
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
33 Staniford St, Providence, RI, 02905-3105
Phone Number
401-421-8800
Fax Number
401-273-6510
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9003157 05 RI
CF54829 05 RI
institution
Provider Business Practice Location Address Details
Address
33 Staniford St
City
State
Zip
02905-3105
Phone Number
401-421-8800
Fax Number
401-273-6510
person
Provider Business Mailing Address Details
Address
33 Staniford St
City
State
Zip
02905-3105
Phone Number
401-421-8800
Fax Number
401-273-6510
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
37214 (Rhode Island)
Definition
Definition to come...
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