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TAMARA FULLER, FNP-BC

FNP-BC

Family Nurse Practitioner

NPI: 1891420154IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

28132899A(IN)
Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

71012996A(IN)

CMS Specialties

Education

OTHER

Class of 2022

Contact & Hours

3.3(12)

Via Beacon Medical Group Pediatric Multi-Specialty · 2 locations total

Address
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601

Quick Facts

NPI
1891420154
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
4

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