DONNA FULLER PA
NPI 1679564819
Physician Assistant in Reisterstown, MD

Active since November 04, 2005
11722 REISTERSTOWN ROAD, REISTERSTOWN, MD 21136(410) 833-5000(410) 833-1433 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donna Fuller Pa NPPES

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

DONNA FULLER PA (NPI 1679564819) is an individual physician assistant in Reisterstown, Maryland, licensed in Maryland (C0001453) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1679564819
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDONNA FULLERCredential: PA
Location Address11722 REISTERSTOWN ROADReisterstown, MD 21136
Mailing Address415 Samantha CtGlyndon, MD 21071 · (410) 833-3626
Fax(410) 833-1433
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateFebruary 23, 2010
NPI 1679564819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0001453
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11722 REISTERSTOWN ROAD, Reisterstown, MD 21136

Other Identifiers 1

Medicare UPINS40495MD

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 Donna Fuller's NPI number?

The NPI number for Donna Fuller is 1679564819. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Donna Fuller located?

Donna Fuller practices at 11722 Reisterstown Road, Reisterstown, MD 21136. The listed phone number is (410) 833-5000.

What is Donna Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Donna Fuller was last updated on February 23, 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.