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KYLE FULLER APRN LLC
Psychiatric/Mental Health

NPI Profile for KYLE FULLER APRN LLC in WAUREGAN, CT.

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Contact Information

KYLE FULLER APRN LLC
19 S WALNUT ST. STE C
WAUREGAN, CT  06387
 Phone: 860-207-8160
 Fax: 860-207-8170
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

 364SP0808X 89 Certified Clinical Nurse Specialist
 

Family Health

 364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KYLE FULLER APRN LLC · (Female)

NPI Number 1821138470
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2007
Last updated 10/22/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 002043
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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