Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TERESA AUSTIN FULLER
Active Sole ProprietorMRS. TERESA AUSTIN FULLER is a Bus healthcare provider located in MAPLE, Wisconsin. NPI 1497258891 is currently active in the NPPES registry. Verify at CMS.
Bus · MAPLE, WI
Registration Details
- NPI Number
- 1497258891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2018 (8.4452819318082 yrs)
- Last Updated
- Mar 12, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
4755 S COUNTY ROAD OMAPLE, WI, 548549159Browse WI providers · Browse ZIP 54854
- Phone
- 2182697961
- Fax
- 7153632615
- Primary Specialty
-
Bus
343900000X
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.