Fuller, Mary-Faith

Fuller, Mary-Faith is an individual health care provider with primary practice located at 12176 S 1000 E Ste G, Draper UT 84020-9734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fuller, Mary-Faith can be contacted via phone (801) 523-3030.

Contact Information

Primary practice address
12176 S 1000 E Ste G Draper UT 84020-9734
Phone: (801) 523-3030
Fax: (801) 523-3033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 7737232-4405 Utah

Profile Details

NPI number 1497176911
LBN Legal business name Fuller, Mary-Faith
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2013
Last updated Dec 31st, 2013 - about 12 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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