KYLE FULLER APRN LLC NPI 1821138470

NPI Information

  • NPI: 1821138470
  • Provider Name: KYLE FULLER APRN LLC
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 19 S WALNUT ST. STE C
    WAUREGAN, CT
    ZIP 06387
  • Phone: (860) 207-8160

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NPI Details

KYLE FULLER APRN LLC is a psychiatric/mental health clinical nurse specialist in Wauregan, CT. KYLE FULLER APRN LLC NPI is 1821138470. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19 S WALNUT ST. STE C
WAUREGAN, CT
ZIP 06387
Phone: (860) 207-8160
Fax: (860) 207-8170

The provider's authorized official is Kyle J Fuller .
The authorized official title is Owner/sole Proprietor and has the following contact phone number (860) 207-8160.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/22/2019.

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
1364SF0001XClinical Nurse SpecialistFamily Health002043CONNECTICUTNo
2364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health002043CONNECTICUTYes

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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