Alisha M Fuller is a Family in Middletown, New York. Alisha M Fuller practices all healthcare services and medical treatments related to Family. The NPI Number for Alisha M Fuller is 1083616544. The last update date is 2008-10-31.
Alisha M Fuller's current location address is 390 Crystal Run Rd, Middletown, New York. You can contact this provider via phone number 8456928780 and fax number 8456923439. The mailing address for Alisha M Fuller is 390 Crystal Run Rd, Middletown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisha M Fuller |
|---|---|
| Address | 390 Crystal Run Rd, Middletown, New York |
| Phone Number | 8456928780 |
| Fax Number | 8456923439 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1083616544 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2008-10-31 |
Provider Mailing Address Detail
| Address | 390 Crystal Run Rd |
|---|---|
| City | Middletown |
| State | New York (NY) |
| Post Code | 10941 |
| Phone Number | 8456928780 |
| Fax Number | 8456923439 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 333950 |
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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 |
|---|---|---|---|
| 2745279 | NY | -- |
Post Comment/ Review Below
What is the Alisha M Fuller's 1083616544?
The Alisha M Fuller's NPI (National Provider Identifier) Number is 1083616544. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Alisha M Fuller's physical address?
The Alisha M Fuller is physically located at 390 Crystal Run Rd, in the city of Middletown, NY, with the postal code 10941.
What is the Alisha M Fuller's specialty and taxonomy code?
The Alisha M Fuller's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When was the Alisha M Fuller's 1083616544 issued?
The Alisha M Fuller's 1083616544 was issued on 2005-08-15.
When was the information regarding Alisha M Fuller most recently updated?
The details pertaining to the Alisha M Fuller, including its address, specialty, and other relevant information, were last refreshed on 2008-10-31.