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

MIMI O FULLER, CNA

Active

MIMI O FULLER, CNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SPARTANBURG, South Carolina. NPI 1326155128 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · SPARTANBURG, SC

Registration Details

NPI Number
1326155128
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2006 (19.932301375392 yrs)
Last Updated
Oct 25, 2007
Licenses
SCAPN987 (SC)
AANA22356 (SC)

Practice Information

Address
735 E MAIN STREET
SPARTANBURG, SC, 293021281
Browse SC providers · Browse ZIP 29302
Phone
8645421308
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in SPARTANBURG, SC

Name Credential NPI
MS. CYNTHIA RICHARDS KAHLER CRNA 1760474118
MRS. CAROL GRIFFITH MCCORKLE CRNA 1740272103
MRS. MELLONY S HARRIS CRNA 1699767095
MS. DEBORAH LOU HILBURN CRNA 1982687091
MR. RICHARD NILES VAUGHT CRNA 1114906351
MS. ANN LESLYE BURSON CRNA 1639159643
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.