MRS. ELISABETH ANN FULLER-HASKELL NP NPI 1366525545

NPI Information

NPI: 1366525545
Provider Name: MRS. ELISABETH ANN FULLER-HASKELL, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
253 PLEASANT LAKE AVE
HARWICH, MA
ZIP 02645
Phone: (508) 432-5233
Get Directions

MRS. Elisabeth Ann Fuller-haskell, NP is an adult health nurse practitioner in Harwich, MA with 37 years of experience. MRS. Elisabeth Ann Fuller-haskell, NP NPI is 1366525545. 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:

253 PLEASANT LAKE AVE
HARWICH, MA
ZIP 02645-535
Phone: (508) 432-5233
Fax: (508) 430-0511

The NPI 1366525545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 1/8/2008.

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	363LG0600X	Nurse Practitioner	Gerontology	160499	MASSACHUSETTS	No
2	363LA2200X	Nurse Practitioner	Adult Health	160499	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0353761	MEDICAID	MASSACHUSETTS
2	R40948	MEDICARE UPIN
3	FUNP3090	MEDICARE ID-TYPE UNSPECIFIED
4	NP 0055	OTHER	MASSACHUSETTS	BCBS
5	UX3415	OTHER		PTAN
6	NP0055	OTHER		BCBS

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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