Search › Virginia › 363A00000X
Kristin Fuller, PA-C
NPI 1487958625 · on the registry since 2011 · sole proprietor
Practice
- Address
- 20905 Professional Plaza
Suite 330
Ashburn, VA 20147 - Phone
- (703) 726-0003
- Fax
- (703) 726-6444
- Organisation at this address
- Fairfax Family Practice Centers Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-04
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