TRACI ANN FULLER P.A. NPI 1487961231

NPI Information

NPI: 1487961231
Provider Name: TRACI ANN FULLER, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
6480 HARRISON AVE
SUITE 100
CINCINNATI, OH
ZIP 45247
Phone: (513) 354-3700
Get Directions

Traci Ann Fuller, P.A. is a surgical physician assistant in Cincinnati, OH. Traci Ann Fuller, P.A. NPI is 1487961231. 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:

6480 HARRISON AVE
SUITE 100
CINCINNATI, OH
ZIP 45247-961
Phone: (513) 354-3700
Fax: (513) 354-7651

The enumeration date for this NPI number is 8/31/2010 and was last updated on 6/21/2013.

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	363AM0700X	Physician Assistant	Medical	006385	GEORGIA	No
2	363AS0400X	Physician Assistant	Surgical	006385	GEORGIA	No
3	363AS0400X	Physician Assistant	Surgical	50003781	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006385	OTHER	GEORGIA	STATE MEDICAL LICENSE
2	50003781	OTHER	OHIO	MEDICAL LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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