AUDRA FULLER

PENSACOLA, FL
NPI1497128235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.005450)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA9115779)
363AM0700X Physician Assistant, Medical
(Licence: IL  085.005515)
Enumeration Date2015-11-02
Last Update Date2025-08-20
Business Address
AUDRA FULLER PA-C
125 BAPTIST WAY STE 5C
PENSACOLA, FL 32503-2274
Phone number: 448-227-6950
Mailing Address
AUDRA FULLER PA-C
PO BOX 95590
SOUTH JORDAN, UT 84095-0590
Phone number: 801-352-9500