Dr CHARLOTTE MICHELLE FULLER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
NORTHSHORE REDI-MED LLC
4430 HWY 22
MANDEVILLE
LA
704713310
Tel: 9856263470
| Npi | 1033657580 |
| Pac Id | 6800164849 |
| Professional Enrollment Id | I20170616000937 |
| Last Name | FULLER |
| First Name | CHARLOTTE |
| Middle Name | MICHELLE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | NORTHSHORE REDI-MED LLC |
| Group Practice Pac Id | 2163609660 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 4430 HWY 22 |
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| City | MANDEVILLE |
| State | LA |
| Zip Code | 704713310 |
| Phone Number | 9856263470 |
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| Professional Accepts Medicare Assignment | Y |
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