Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENA FULLER, ATC/L
Active Sole ProprietorGENA FULLER, ATC/L is a Athletic Trainer healthcare provider located in BRIDGEPORT, Connecticut. NPI 1619577103 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1619577103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2020 (5.7703192403914 yrs)
- Last Updated
- Nov 27, 2023
- License
-
1026 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4675 MAIN STBRIDGEPORT, CT, 066061813Browse CT providers · Browse ZIP 06606
- Phone
- 2033730551
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY C. STAY | MS, ATC, CSCS | 1326082447 |
| MEGHAN E. KAVANAGH | ATC | 1114148764 |
| MS. ERICKA ANN VENTURA | ATC, LAT | 1518358829 |
| SOPHIA RAHIM | — | 1265906648 |
| JOYCE E WOOLEN | ATC | 1144822404 |
| DELANI MACKAY | — | 1083491492 |
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.