Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PAMELA MARY FULLER, RN
Active Sole ProprietorMRS. PAMELA MARY FULLER, RN is a Nurse Anesthetist, Certified healthcare provider located in GRAND RAPIDS, Michigan. NPI 1851946958 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1851946958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2019 (6.8359739609888 yrs)
- Last Updated
- Aug 6, 2019
- License
-
4704188418 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1620 44TH ST SEGRAND RAPIDS, MI, 495085002Browse MI providers · Browse ZIP 49508
- Phone
- 6162436262
- Fax
- 6162436969
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Other Nurse Anesthetist, Certified Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| KELLY ANN BIGGER | — | 1922596634 |
| MARCIA LYNNE INGRAM | — | 1316514789 |
| CHLOE BLANZY | RN | 1407700701 |
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.