MS. MARTHA GRANT FULLER PNP
NPI 1346449634
Nurse Practitioner - Pediatrics in San Diego, CA
About Ms. Martha Grant Fuller Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARTHA GRANT FULLER PNP (NPI 1346449634) is an individual pediatrics provider in San Diego, California, licensed in California (NP6272) and active in the NPI registry since July 2007. She maintains a secondary practice location in San Diego.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Martha Fuller's NPI number?
The NPI number for Martha Fuller is 1346449634. It was assigned to this individual provider in the NPPES registry on July 16, 2007. The provider is also known as Martha Wyatt.
Where is Martha Fuller located?
Martha Fuller practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 576-1700.
What is Martha Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Martha Fuller was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Martha Grant Fuller, PNP · NPI 1346449634
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 16, 2007.
## Identity
- **NPI:** 1346449634 (Entity type: Individual)
- **Enumerated:** July 16, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** NP6272 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 576-1700
## Record status
- **NPPES last updated:** September 12, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1346449634) · Data from the CMS NPPES public registry.