Provider Demographics
NPI:1689272726
Name:FULLER, SHEILA MARGARET (DNP, RN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:MARGARET
Last Name:FULLER
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Gender:F
Credentials:DNP, RN, FNP-C
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:12420 WARWICK BLVD BLDG 44A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3001
Practice Address - Country:US
Practice Address - Phone:757-594-4431
Practice Address - Fax:757-594-2936
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
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Provider Licenses
StateLicense IDTaxonomies
VA0024179858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily