NPI 1912165713 · live from the CMS NPI Registry
Kisti Pope Fuller, MD
Obstetrics & Gynecology, Maternal & Fetal Medicine in Mesa, AZ. National Provider Identifier 1912165713, active.
NPI record
| NPI | 1912165713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 1840 S Stapley Dr Ste 131, Mesa, AZ 85204 |
| Practice phone | 480-866-8787 |
| Mailing address | 4343 N Scottsdale Rd Ste 150, Scottsdale, AZ 85251 |
| Enumerated | May 28, 2008 |
| Last updated | April 2, 2024 |
| Sole proprietor | No |
| Other names | Kisti Pope |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 24641 (NV) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | 48767 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.