SAMUEL FULLMER

Family Nurse Practitioner

NPI: 1609600600IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

355097(NY)NP95034962(CA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2016

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Contact & Hours

Address: 2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Phone: (510) 535-4400

Quick Facts

NPI: 1609600600
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 10

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