Search › Tennessee › 363LF0000X
Angela Fuller
NPI 1265991764 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1923 Port Royal Dr
Soddy Daisy, TN 37379 - Phone
- (423) 602-1544
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-14
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 Tennessee