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Contact Information

DANIEL B FULLER
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA23708-2111
 Phone: 828-230-4102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for DANIEL B FULLER · (Male)

NPI Number 1629404264
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2013
Last updated 02/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0024171194
Hospital affiliation(s) Not Available
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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