Fuller, Elizabeth J.

Fuller, Elizabeth J. is an individual health care provider with primary practice located at 1633 N Capitol Ave Suite 436, Indianapolis IN 46202-1261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fuller, Elizabeth J. can be contacted via phone (317) 962-6603.

Contact Information

Primary practice address
1633 N Capitol Ave Suite 436 Indianapolis IN 46202-1261
Phone: (317) 962-6603
Fax: (317) 962-2049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 28090249A Indiana

Profile Details

NPI number 1962535674
LBN Legal business name Fuller, Elizabeth J.
Credentials MSN, RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jan 21st, 2021 - about 5 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 1962535674 NPPES
Indiana Other 28090249A STATE LICENSE

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