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

DR. ITHIEL LOKEN AMES FULLER, MD

Active

DR. ITHIEL LOKEN AMES FULLER, MD is a Anesthesiology healthcare provider located in BRATTLEBORO, Vermont. NPI 1821217746 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · BRATTLEBORO, VT

Registration Details

NPI Number
1821217746
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2007 (19.311704413155 yrs)
Last Updated
Jan 6, 2026
Licenses
84251 (WI)
0420011774 (VT)
67242 (CT)

Practice Information

Address
17 BELMONT AVE
ANESTHESIOLOGY DEPT
BRATTLEBORO, VT, 053017601
Browse VT providers · Browse ZIP 05301
Phone
8022578220
Primary Specialty
Anesthesiology
207L00000X
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology

Other Anesthesiology Providers in BRATTLEBORO, VT

Name Credential NPI
DR. JOHN M. BURRELL MD 1548234248
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.