Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Fulleman, PA-C

Individual provider Medical Physician Assistant · NPI 1558810218

Alexandra Fulleman, PA-C is a Medical Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
Fax: (602) 344-1423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6467 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 6467 (AZ)

Record details

NPI number1558810218
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

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