Antonia Fuller in Saint Augustine - Psychiatric/mental Health, Adult

Antonia Fuller - NPI 1942390265

Antonia Fuller is a Psychiatric/mental Health, Adult in Saint Augustine, Florida. Antonia Fuller practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Antonia Fuller is 1942390265. The last update date is 2010-01-07.

Antonia Fuller's current location address is 354 Paseo Reyes Drive, Saint Augustine, Florida. You can contact this provider via phone number 9048088595 and fax number 9048088596. The mailing address for Antonia Fuller is 354 Paseo Reyes Drive, Saint Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Antonia Fuller
Address 354 Paseo Reyes Drive, Saint Augustine, Florida
Phone Number 9048088595
Fax Number 9048088596
Sole Proprietor Y
Credentials A.R.N.P.

NPI Number Detail

NPI Number 1942390265
Provider Enumeration Date 2006-10-15
Last Updated Date 2010-01-07

Provider Mailing Address Detail

Address 354 Paseo Reyes Drive
City Saint Augustine
State Florida (FL)
Post Code 32095
Phone Number 9048088595
Fax Number 9048088596

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No 1606392
Definition:
A psychiatric nurse who cares for adult patients.

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FAQs about Antonia Fuller

What is the unique 10-digit identification code issued to Antonia Fuller by the Centers for Medicare & Medicaid Services?

The Antonia Fuller has been assigned the NPI (National Provider Identifier) 1942390265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Antonia Fuller is geographically located?

The Antonia Fuller is physically situated at the following location: 354 Paseo Reyes Drive, Saint Augustine, FL, 32095.

What is Antonia Fuller's area of expertise and its corresponding taxonomy classification?

The Antonia Fuller's field of specialization is Psychiatric/mental Health, Adult, and it falls under the taxonomy code 163Wp0809X, which categorizes healthcare providers based on their areas of practice.

When did Antonia Fuller receive its 1942390265 assignment?

The Antonia Fuller was assigned its 1942390265 on 2006-10-15, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1942390265 to Antonia Fuller?

The Centers for Medicare & Medicaid Services originally issued the 1942390265 to Antonia Fuller on 2006-10-15.

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