Colleen D. Fullerton in Providence - Family

Colleen D. Fullerton - NPI 1528139730

Colleen D. Fullerton is a Family in Providence, Rhode Island. Colleen D. Fullerton practices all healthcare services and medical treatments related to Family. The NPI Number for Colleen D. Fullerton is 1528139730. The last update date is 2007-07-09.

Colleen D. Fullerton's current location address is 33 Staniford St, Providence, Rhode Island. You can contact this provider via phone number 4014218800 and fax number 4012736510. The mailing address for Colleen D. Fullerton is 33 Staniford St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen D. Fullerton
Address 33 Staniford St, Providence, Rhode Island
Phone Number 4014218800
Fax Number 4012736510
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1528139730
Provider Enumeration Date 2006-11-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 33 Staniford St
City Providence
State Rhode Island (RI)
Post Code 29053105
Phone Number 4014218800
Fax Number 4012736510

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 37214
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9003157 RI --
CF54829 RI --

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FAQs about Colleen D. Fullerton

What is the unique 10-digit identification code issued to Colleen D. Fullerton by the Centers for Medicare & Medicaid Services?

The Colleen D. Fullerton has been assigned the NPI (National Provider Identifier) 1528139730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Colleen D. Fullerton is located?

The Colleen D. Fullerton is situated at the following address: 33 Staniford St, Providence, RI, 29053105.

What is Colleen D. Fullerton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Colleen D. Fullerton's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528139730 to Colleen D. Fullerton?

The Centers for Medicare & Medicaid Services originally issued the 1528139730 to Colleen D. Fullerton on 2006-11-10.

When was the information pertaining to Colleen D. Fullerton most recently updated or revised?

The details related to Colleen D. Fullerton, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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