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MRS. SU-YONG FULLMER
NPI 1679290522
Nurse Practitioner - Family in Auburn, WA

Active since October 21, 2022
200 AUBURN AVE, AUBURN, WA 98002(800) 440-3305(866) 369-4424 Get Directions Write a Review

NPPES record last updated: February 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2023, Oct 21, 2022 (2 updates tracked since 2022).

About Mrs. Su-yong Fullmer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SU-YONG FULLMER (NPI 1679290522) is an individual family provider in Auburn, Washington, licensed in Washington (AP61178626) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1679290522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SU-YONG FULLMER
Location Address200 AUBURN AVEAuburn, WA 98002-5015
Mailing Address922 66th Ave EFife, WA 98424-1445 · (253) 831-4910
Phone(800) 440-3305
Fax(866) 369-4424
Sole ProprietorYes
Enumeration DateOctober 21, 2022
Last NPPES UpdateFebruary 19, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2023
✔ NPI 1679290522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61178626
200 AUBURN AVE, Auburn, WA 98002
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCISCAN MEDICAL GROUP
Surgery
200 AUBURN AVE
AUBURN, WA 98002
King County (253) 833-1986
FRANCISCAN MEDICAL GROUP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 AUBURN AVE
AUBURN, WA 98002
King County (253) 552-4102

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 Su-yong Fullmer's NPI number?

The NPI number for Su-yong Fullmer is 1679290522. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Where is Su-yong Fullmer located?

Su-yong Fullmer practices at 200 Auburn Ave, Auburn, WA 98002. The listed phone number is (800) 440-3305.

What is Su-yong Fullmer'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 Su-yong Fullmer was last updated on February 19, 2023. 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.