DIANNE LEE FULLER FNP-C
NPI 1124347786
Nurse Practitioner - Family in Salt Lake City, UT
About Dianne Lee Fuller Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANNE LEE FULLER FNP-C (NPI 1124347786) is an individual family provider in Salt Lake City, Utah, licensed in Utah (308008-4405) and active in the NPI registry since May 2010.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH SALT LAKE, UT 84115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dianne Fuller's NPI number?
The NPI number for Dianne Fuller is 1124347786. It was assigned to this individual provider in the NPPES registry on May 21, 2010. The provider is also known as Dianne Lee Fuller Clyde Fnp-C.
Where is Dianne Fuller located?
Dianne Fuller practices at 3690 S Main St, Salt Lake City, UT 84115. The listed phone number is (801) 910-3690.
What is Dianne Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Dianne Fuller was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dianne Lee Fuller, FNP-C · NPI 1124347786
Family physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 21, 2010.
## Identity
- **NPI:** 1124347786 (Entity type: Individual)
- **Enumerated:** May 21, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 308008-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 3690 S MAIN ST, Salt Lake City, UT 84115-4423
- **Phone:** (801) 910-3690
## Record status
- **NPPES last updated:** May 21, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1124347786) · Data from the CMS NPPES public registry.