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NPI Lookup from the NPI Registry — National Provider Identifier Database

TERESA FULLEN, FNP-C – NPI #1578880647
Family Health


Contact Information

TERESA FULLEN, FNP-C
1020 TERRACE DR
SUITE 200
MARION, VA24354-4392
 Phone: 276-783-7167
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Family Health

364SF0001X
 

Emergency Medicine

207P00000X
Indicates primary specialty
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NPI Information for TERESA FULLEN · (Female)

NPI Number 1578880647
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 04/28/2010
Last updated 04/15/2013 - More than a year ago
Sole proprietor 1 No
Identifiers
VA License # 0001138223
VA License # 0024168776
VA Medicare PIN VAA101134
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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