Search › Virginia › 374U00000X
Nathan Fullen
NPI 1174239545 · on the registry since 2023 · sole proprietor
Practice
- Address
- 7353 Reedy Creek Rd
Bristol, VA 24202 - Phone
- (423) 534-3220
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia