KYLE FULLER APRN LLC; NPI #1821138470

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

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NPI Profile & details for KYLE FULLER APRN LLC

NPI # 1821138470

LBN Legal business name KYLE FULLER APRN LLC

Authorized official KYLE FULLER - (OWNER/SOLE PROPRIETOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2007

Last updated 10/22/2019 - About 7 years ago

Identifiers

License #

002043

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KYLE FULLER APRN LLC

Contact Information

Specialty

Psychiatric/Mental Health

Family Health

NPI Profile & details for KYLE FULLER APRN LLC

Reviews for KYLE FULLER APRN LLC