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

Breanna Maria Fuller

Individual provider Athletic Trainer · NPI 1891579231

Breanna Maria Fuller is an Athletic Trainer in Avondale, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

400 Indian Run Rd
Avondale, PA 19311-1509
Phone: (443) 752-9120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1891579231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 26, 2022

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