Fuller, Cheryl Allen

Fuller, Cheryl Allen is an sole proprietor health care provider with primary practice located at 640 Madison Ave , Scranton PA 18510-1631. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Women's Health Care, Ambulatory. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fuller, Cheryl Allen can be contacted via phone (570) 961-5550.

Contact Information

Primary practice address
640 Madison Ave Scranton PA 18510-1631
Phone: (570) 961-5550
Fax: (570) 961-3844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TP001357B Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X TP001357B Pennsylvania
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN186250L Pennsylvania

Profile Details

NPI number 1841386604
LBN Legal business name Fuller, Cheryl Allen
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Feb 2nd, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841386604 NPPES
Pennsylvania MEDICAID 0016466420006
Pennsylvania MEDICAID 1007678420035
Pennsylvania MEDICAID 1007678420043
Pennsylvania MEDICAID 0016466420007

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