Fuller, Casey Anna
Fuller, Casey Anna is an individual health care provider with primary practice located at 300 Colorado Ave , Pueblo CO 81004-2006. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Fuller, Casey Anna can be contacted via phone (719) 543-8711.Contact Information
Primary practice address
300 Colorado Ave
Pueblo CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-0171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 113250 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | C-APN-0004366-C-NP | Colorado |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 238135 | Arizona |
Profile Details
| NPI number | 1568997757 |
|---|---|
| LBN Legal business name | Fuller, Casey Anna |
| Credentials | PHMNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2017 |
| Last updated | Jan 23rd, 2024 - about 2 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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