Fuller, Traci Ann

Fuller, Traci Ann is an individual health care provider with primary practice located at 6480 Harrison Ave Suite 100, Cincinnati OH 45247-7961. 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 / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fuller, Traci Ann can be contacted via phone (513) 354-3700.

Contact Information

Primary practice address
6480 Harrison Ave Suite 100 Cincinnati OH 45247-7961
Phone: (513) 354-3700
Fax: (513) 354-7651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006385 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 006385 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50003781 Ohio

Profile Details

NPI number 1487961231
LBN Legal business name Fuller, Traci Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Jun 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487961231 NPPES
Ohio Other 50003781 MEDICAL LICENSE
Ohio Other 006385 MEDICAL LICENSE

Popular Providers