Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE R FULLERTON
ActiveSHANE R FULLERTON is a Counselor healthcare provider located in KAILUA KONA, Hawaii. NPI 1063862852 is currently active in the NPPES registry. Verify at CMS.
Counselor · KAILUA KONA, HI
Registration Details
- NPI Number
- 1063862852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2016 (10.213958939619 yrs)
- Last Updated
- Jun 14, 2016
Practice Information
- Address
-
75-5699 ALII DR STE EKAILUA KONA, HI, 967403112Browse HI providers · Browse ZIP 96740
- Phone
- 4432264939
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in KAILUA KONA, HI
| Name | Credential | NPI |
|---|---|---|
| MELISSA D ORTEGA | — | 1043467087 |
| ANNEKA BOWMAN | — | 1205083003 |
| RAMONA ESTRADA | LMFT, CSAC | 1023243136 |
| MARY MANN | — | 1851602098 |
| ROSS HUNT | — | 1053618678 |
| CARLO CRISTOPH GIORDANO | — | 1285916650 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.