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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA ELLEN FULLMER

Active

SAMANTHA ELLEN FULLMER is a Family Nurse Practitioner healthcare provider located in MESA, Arizona. NPI 1265031496 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · MESA, AZ

Registration Details

NPI Number
1265031496
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2020 (5.7944200941901 yrs)
Last Updated
May 3, 2023
Licenses
223113 (AZ)
223113 (AZ)

Practice Information

Address
1705 W MAIN ST
MESA, AZ, 852016920
Browse AZ providers · Browse ZIP 85201
Phone
4809642273
Fax
4807189477
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
General Practice

Other Family Nurse Practitioner Providers in MESA, AZ

Name Credential NPI
DEBORAH K ROBERTSON N.P. 1851394407
MS. JUDITH CELIK NP 1225033491
MR. JAMES RANDOLPH SEXTON NP 1710983804
CYNTHIA ANN PETERS CRNFA, FNP-C 1699771659
LUIS QUINTANA NP 1952308264
MS. HELEN S MCNICHOLAS R.N., C.S., F.N.P. 1598763989
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.