IndividualActive
Allison Fuller
NPI 1558097295 · Certified Registered Nurse Anesthetist · Lake Havasu City, AZ
Provider details
- NPI number
- 1558097295
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 325631 (AZ)
Practice location
101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone: (928) 855-8185
Mailing address
101 Civic Center Ln
Lake Havasu City, AZ 86403-5683
Registry dates
- Enumerated
- 2022-07-26
- Last updated
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.