Carissa Sharnetta Fuller in Philadelphia - Gerontology
Carissa Sharnetta Fuller - NPI 1407070501
Carissa Sharnetta Fuller is a Gerontology in Philadelphia, Pennsylvania. Carissa Sharnetta Fuller practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Carissa Sharnetta Fuller is 1407070501. The last update date is 2023-02-15.
Carissa Sharnetta Fuller's current location address is 3500 N Broad St Rm 1a, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159269022. The mailing address for Carissa Sharnetta Fuller is 3500 N Broad St Rm 1a, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carissa Sharnetta Fuller |
|---|---|
| Address | 3500 N Broad St Rm 1a, Philadelphia, Pennsylvania |
| Phone Number | 2159269022 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1407070501 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2023-02-15 |
Provider Mailing Address Detail
| Address | 3500 N Broad St Rm 1a |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191404106 |
| Phone Number | 2159269022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | LP0000308 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carissa Sharnetta Fuller by the Centers for Medicare & Medicaid Services?
The Carissa Sharnetta Fuller has been assigned the NPI (National Provider Identifier) 1407070501 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Carissa Sharnetta Fuller is physically located?
The Carissa Sharnetta Fuller is physically situated at the following address: 3500 N Broad St Rm 1A, Philadelphia, PA, 191404106.
What is the Carissa Sharnetta Fuller's specialty and taxonomy code?
The Carissa Sharnetta Fuller's specialty is Gerontology, and the corresponding taxonomy code is 363Lg0600X.
On what date did the Carissa Sharnetta Fuller receive the assignment of its 1407070501 from the Centers for Medicare & Medicaid Services?
The Carissa Sharnetta Fuller was issued its 1407070501 by the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date were the details pertaining to Carissa Sharnetta Fuller last refreshed?
The information related to the Carissa Sharnetta Fuller, including its address, specialty, and other relevant details, was last updated on 2023-02-15.
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