Nicole M Fuller is a Clinical in Andrews Afb, Maryland. Nicole M Fuller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicole M Fuller is 1073578969. The last update date is 2012-07-10.
Nicole M Fuller's current location address is 1050 W. Perimeter Road Suite B5-19, Andrews Afb, Maryland. You can contact this provider via phone number 2408577186. The mailing address for Nicole M Fuller is 1050 W. Perimeter Road Suite B5-19, Andrews Afb, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole M Fuller |
|---|---|
| Address | 1050 W. Perimeter Road Suite B5-19, Andrews Afb, Maryland |
| Phone Number | 2408577186 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, BCD |
NPI Number Detail
| NPI Number | 1073578969 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2012-07-10 |
Provider Mailing Address Detail
| Address | 1050 W. Perimeter Road Suite B5-19 |
|---|---|
| City | Andrews Afb |
| State | Maryland (MD) |
| Post Code | 20762 |
| Phone Number | 2408577186 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 35461 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nicole M Fuller by the Centers for Medicare & Medicaid Services?
The Nicole M Fuller has been issued the NPI (National Provider Identifier) 1073578969, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Nicole M Fuller is physically located?
The Nicole M Fuller is situated at the following address: 1050 W. Perimeter Road Suite B5-19, Andrews Afb, MD 20762.
What is Nicole M Fuller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nicole M Fuller is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Nicole M Fuller receive the assignment of its 1073578969 from the Centers for Medicare & Medicaid Services?
The Nicole M Fuller was issued its 1073578969 by the Centers for Medicare & Medicaid Services on 2006-04-20.
As of what date was the information regarding Nicole M Fuller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicole M Fuller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-07-10.