Nicole Middleton Fuller in Monroe - Family
Nicole Middleton Fuller - NPI 1083742993
Nicole Middleton Fuller is a Family in Monroe, Louisiana. Nicole Middleton Fuller practices all healthcare services and medical treatments related to Family. The NPI Number for Nicole Middleton Fuller is 1083742993. The last update date is 2019-06-11.
Nicole Middleton Fuller's current location address is 130 Desiard St Ste 355, Monroe, Louisiana. You can contact this provider via phone number 3188077875 and fax number 3188126603. The mailing address for Nicole Middleton Fuller is 130 Desiard St Ste 355, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Middleton Fuller |
|---|---|
| Address | 130 Desiard St Ste 355, Monroe, Louisiana |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
| Sole Proprietor | N |
| Credentials | NP-C |
NPI Number Detail
| NPI Number | 1083742993 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2019-06-11 |
Provider Mailing Address Detail
| Address | 130 Desiard St Ste 355 |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712017363 |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP04408 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1473286 | LA | -- | |
| P00625589 | LA | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Nicole Middleton Fuller?
The Nicole Middleton Fuller has been issued the NPI (National Provider Identifier) 1083742993 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Nicole Middleton Fuller's physical address?
The Nicole Middleton Fuller is physically located at 130 Desiard St Ste 355, in the city of Monroe, LA, with the postal code 712017363.
What is Nicole Middleton Fuller's area of expertise and its corresponding taxonomy classification?
The Nicole Middleton Fuller's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1083742993 to Nicole Middleton Fuller?
The Nicole Middleton Fuller received its 1083742993 assignment from the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the details related to Nicole Middleton Fuller most recently updated or revised?
The information pertaining to Nicole Middleton Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-11.