| Deborah Joan Fuller, CNP | |
|
7 Municipal Way, Edgewood, NM 87015 | |
| (505) 281-3406 | |
| (505) 286-3329 |
| Full Name | Deborah Joan Fuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7 Municipal Way, Edgewood, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861474207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R42788 (New Mexico) | Primary |
| Entity Name | First Choice Community Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Joan Fuller, CNP 2001 Centro Familiar Blvd Sw, Albuquerque, NM 87105-4592 Ph: (505) 281-3406 | Deborah Joan Fuller, CNP 7 Municipal Way, Edgewood, NM 87015 Ph: (505) 281-3406 |
Nathan Duane Cogburn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 | |
Vivienne Prinz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 | |
Thu Thanh Nguyen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Quail Trail, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 Fax: 505-717-2884 | |
Mary Ann Crow, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Tracy J. Graff, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: -- | |
Cierra Dorado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Chelsey Ann Weinbrecht, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Square H Rd, Edgewood, NM 87015 Phone: 505-363-1884 |