Fuller, Rebecca Baldwin

Fuller, Rebecca Baldwin is an individual health care provider with primary practice located at 209 Gibson St Nw Suite 202, Leesburg VA 20176-2122. 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, Rebecca Baldwin can be contacted via phone (646) 228-4868.

Contact Information

Primary practice address
209 Gibson St Nw Suite 202 Leesburg VA 20176-2122
Phone: (646) 228-4868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 304631 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024168084 Virginia

Profile Details

NPI number 1083818389
LBN Legal business name Fuller, Rebecca Baldwin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Oct 15th, 2018 - about 8 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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