Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN C FULLER, M.D.
ActiveCOLLEEN C FULLER, M.D. is a Anesthesiology healthcare provider located in SHREVEPORT, Louisiana. NPI 1790764835 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · SHREVEPORT, LA
Registration Details
- NPI Number
- 1790764835
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2006 (20.603065430888 yrs)
- Last Updated
- Nov 17, 2011
- License
-
014708 (LA)
Practice Information
- Address
-
1945 E 70TH STSUITE BSHREVEPORT, LA, 711055347Browse LA providers · Browse ZIP 71105
- Phone
- 3187971743
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. DAYNE DANIEL HASSELL | M.D. | 1932109923 |
| KATHLEEN K MAJORS | MD | 1407849755 |
| DR. DAVID COLLINS DEAS | MD | 1942297031 |
| DR. FRANKLIN G NOLES | MD | 1386631315 |
| DR. ROBERT AUGUST ROBERTSON | MD | 1275521031 |
| DR. GARY GILL | MD | 1689662850 |
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.