LAQUALYN FULLER NPI 1295331080

NPI Information

  • NPI: 1295331080
  • Provider Name: LAQUALYN FULLER
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 4111 HELENA AVE
    YOUNGSTOWN, OH
    ZIP 44512
  • Phone: (330) 519-0964

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NPI Details

Laqualyn Fuller is a licensed practical nurse in Youngstown, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Laqualyn Fuller NPI is 1295331080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4111 HELENA AVE
YOUNGSTOWN, OH
ZIP 44512-206
Phone: (330) 519-0964

The enumeration date for this NPI number is 12/8/2020 and was last updated on 9/16/2024.

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
1174200000XMealsNo
2164X00000XLicensed Vocational Nurse174238OHIONo
3251E00000XHome HealthNo
4251J00000XNursing CareNo
5347C00000XPrivate VehicleNo
6372500000XChore ProviderNo
7376J00000XHomemakerNo
8164W00000XLicensed Practical NurseLPN.174238OHIOYes

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: 11/21/2025

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