NATHAN JAMES FULLMER LPC NPI 1093964041

NPI Information

NPI: 1093964041
Provider Name: NATHAN JAMES FULLMER, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
685 1ST ST
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 228-7043
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Nathan James Fullmer, LPC is a mental health counselor in Idaho Falls, ID. Nathan James Fullmer, LPC NPI is 1093964041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

685 1ST ST
IDAHO FALLS, ID
ZIP 83401-003
Phone: (208) 228-7043

The enumeration date for this NPI number is 9/15/2008 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC-3902	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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