Fuller, Kristin L

Fuller, Kristin L is an sole proprietor health care provider with primary practice located at 20905 Professional Plaza Suite 330, Ashburn VA 20147. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fuller, Kristin L can be contacted via phone (703) 726-0003.

Contact Information

Primary practice address
20905 Professional Plaza Suite 330 Ashburn VA 20147
Phone: (703) 726-0003
Fax: (703) 726-6444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003507 Virginia

Profile Details

NPI number 1487958625
LBN Legal business name Fuller, Kristin L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2011
Last updated Sep 4th, 2013 - about 13 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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