Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY FAITH FULLER
Active Sole ProprietorCARLY FAITH FULLER is a Medical Physician Assistant healthcare provider located in WOODBRIDGE, Virginia. NPI 1295293611 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1295293611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2019 (7.4243884607702 yrs)
- Last Updated
- Dec 29, 2022
- Licenses
-
0110007223 (VA)0110007223 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2300 OPITZ BLVDWOODBRIDGE, VA, 221913311Browse VA providers · Browse ZIP 22191
- Phone
- 7039155550
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| ARIAN AHMADZAI | P.A. | 1972599272 |
| MS. CATHLEEN MARGUERITE MIHELICH | PA-C | 1639185374 |
| TANYA C. BELLIARD | PA | 1225115033 |
| MRS. JESSICA FANTAZOS | PA-C | 1558673350 |
| MISS LENA TRAN | — | 1558671768 |
| MICHELLE KARIMZADA | PA-C | 1689037715 |
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.