Fuller, Breanne

Fuller, Breanne is an individual health care provider with primary practice located at 71 Prospect Ave , Hudson NY 12534-2907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fuller, Breanne can be contacted via phone (518) 791-9482.

Contact Information

Primary practice address
71 Prospect Ave Hudson NY 12534-2907
Phone: (518) 791-9482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 018825 New York

Profile Details

NPI number 1295101731
LBN Legal business name Fuller, Breanne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Mar 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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