Terri L Fullerton in Grand Rapids - Family

Terri L Fullerton - NPI 1700921145

Terri L Fullerton is a Family in Grand Rapids, Michigan. Terri L Fullerton practices all healthcare services and medical treatments related to Family. The NPI Number for Terri L Fullerton is 1700921145. The last update date is 2021-07-29.

Terri L Fullerton's current location address is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. You can contact this provider via phone number 6164866790. The mailing address for Terri L Fullerton is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Terri L Fullerton
Address 100 Michigan St Ne # Mc845, Grand Rapids, Michigan
Phone Number 6164866790
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1700921145
Provider Enumeration Date 2007-02-21
Last Updated Date 2021-07-29

Provider Mailing Address Detail

Address 100 Michigan St Ne # Mc845
City Grand Rapids
State Michigan (MI)
Post Code 495032560
Phone Number 6164866790
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 4704140324
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Terri L Fullerton

What is the unique identification code assigned to Terri L Fullerton by the Centers for Medicare & Medicaid Services?

The Terri L Fullerton has been issued the NPI (National Provider Identifier) 1700921145. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Terri L Fullerton is located?

The Terri L Fullerton is situated at the following address: 100 Michigan St Ne # Mc845, Grand Rapids, MI, 495032560.

What is Terri L Fullerton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Terri L Fullerton is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700921145 to Terri L Fullerton?

The Centers for Medicare & Medicaid Services originally issued the 1700921145 to Terri L Fullerton on 2007-02-21.

As of what date were the Terri L Fullerton's details last updated?

The information pertaining to the Terri L Fullerton, including its address, specialty, and other details, was most recently updated on 2021-07-29.

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