| Doctor Name: | CATHERINE FULLER |
| NPI Number: | 1316352065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | APRN001764 |
| Business Practice Address: | 1559 Watasheamu Road Gardnerville, NV - 89460 |
| Business Phone Number: | 7752651214 |
| Business Fax Number: | |
| Mailing Address: | 692 Bluerock Rd, GARDNERVILLE |
| State: | NV |
| Postal Code: | 894608408 |
| Phone Number: | 7756715814 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2014 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN001764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |