DIANNE LEE FULLER FNP-C NPI 1124347786

NPI Information

NPI: 1124347786
Provider Name: DIANNE LEE FULLER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3690 S MAIN ST
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 910-3690
Get Directions

Dianne Lee Fuller, FNP-C is a family nurse practitioner in Salt Lake City, UT. Dianne Lee Fuller, FNP-C NPI is 1124347786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3690 S MAIN ST
SALT LAKE CITY, UT
ZIP 84115-423
Phone: (801) 910-3690

The enumeration date for this NPI number is 5/21/2010 and was last updated on 5/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	308008-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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