Fuller, Kolleen Marian

Fuller, Kolleen Marian is an individual health care provider with primary practice located at 736 Irving Ave , Syracuse NY 13210-1687. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fuller, Kolleen Marian can be contacted via phone (315) 470-7111.

Contact Information

Primary practice address
736 Irving Ave Syracuse NY 13210-1687
Phone: (315) 470-7111
Fax: (315) 470-2642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 300761-1 New York

Profile Details

NPI number 1952421059
LBN Legal business name Fuller, Kolleen Marian
Credentials RNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 19 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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