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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164021416

Qynncie Alexandria Fuller, BA is a Student in an Organized Health Care Education/Training Program in Riverside, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2085 Rustin Ave
Riverside, CA 92507-2498
Phone: (951) 955-7334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 — (714) 881-0427

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1164021416
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

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