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Contact Information

AMANDA FULLER, COMMUNITY HEALTH WOR
1951 OAK ST.
NILES, MI49120
 Phone: 269-262-4749
 Fax: 269-262-4739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for AMANDA FULLER · (Female)

NPI # 1073375192
Status Active
Credentials COMMUNITY HEALTH WOR
Entity Individual
Enumeration date 01/24/2024
Last updated 01/24/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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