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

Miranda Fuller, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1659076198

Miranda Fuller, CRNP is a Nurse Practitioner in Plymouth Meeting, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Suburban Geriatric's, Inc, a 100-clinician group. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2023
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone: (610) 272-8221
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP027381 (PA)

Record details

NPI number1659076198
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Suburban Geriatric'S, Inc. — 100 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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