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NPI Code Detail

MEDICARE: BRIA FULLERTON APRN

MEDICARE: BRIA FULLERTON APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.515279OH
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0040489OH

General Provider Information

NPI Number : 1275382731
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIA FULLERTON APRN
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 999 N MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44310-1456
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 01/17/2026

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