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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TERESA FULLEN, FNP-C
308 W MAIN ST
SALTVILLE, VA24370-3112
 Phone: 276-496-4433
 Fax: 276-496-5923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for TERESA FULLEN · (Female)

NPI Number 1578880647
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 04/28/2010
Last updated 09/04/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
VA License # 0001138223
VA License # 0024168776
VA Medicare PIN VAA101134
Hospital affiliation(s)
  • CLINCH VALLEY MEDICAL CENTER - (Acute Care)
    2949 WEST FRONT STREET
    RICHLANDS, VA 24641
  • JOHNSTON MEMORIAL HOSPITAL - (Acute Care)
    16000 JOHNSTON MEMORIAL DRIVE
    ABINGDON, VA 24211
  • SMYTH COUNTY COMMUNITY HOSPITAL - (Acute Care)
    245 MEDICAL PARK DRIVE
    MARION, VA 24354
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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