La Crystal L. Fuller in Fullerton - Nurse Practitioner
La Crystal L. Fuller - NPI 1093894594
La Crystal L. Fuller is a Nurse Practitioner in Fullerton, California. La Crystal L. Fuller practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for La Crystal L. Fuller is 1093894594. The last update date is 2021-12-01.
La Crystal L. Fuller's current location address is 1950 Sunny Crest Dr, Fullerton, California. You can contact this provider via phone number 7149925350 and fax number 7149928156. The mailing address for La Crystal L. Fuller is 1950 Sunny Crest Dr, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | La Crystal L. Fuller |
|---|---|
| Address | 1950 Sunny Crest Dr, Fullerton, California |
| Phone Number | 7149925350 |
| Fax Number | 7149928156 |
| Sole Proprietor | N |
| Credentials | RNP, RNFA |
NPI Number Detail
| NPI Number | 1093894594 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 1950 Sunny Crest Dr |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928353638 |
| Phone Number | 7149925350 |
| Fax Number | 7149928156 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 14784 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14784 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to La Crystal L. Fuller by the Centers for Medicare & Medicaid Services?
The La Crystal L. Fuller has been assigned the NPI (National Provider Identifier) 1093894594 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the La Crystal L. Fuller's physical address?
The La Crystal L. Fuller is physically located at 1950 Sunny Crest Dr, in the city of Fullerton, CA, with the postal code 928353638.
What is La Crystal L. Fuller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The La Crystal L. Fuller's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When did La Crystal L. Fuller receive its 1093894594 assignment?
The La Crystal L. Fuller was assigned its 1093894594 on 2006-11-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to La Crystal L. Fuller most recently updated or revised?
The details related to La Crystal L. Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-01.
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