HALEY MARIE FULLER APRN NPI 1942793666

NPI Information

NPI: 1942793666
Provider Name: HALEY MARIE FULLER, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: OWENSBORO HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1301 PLEASANT VALLEY RD STE 404
OWENSBORO, KY
ZIP 42303
Phone: (270) 417-7515
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Haley Marie Fuller, APRN is a gerontology nurse practitioner in Owensboro, KY with 6 years of experience. Haley Marie Fuller, APRN NPI is 1942793666. 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:

1301 PLEASANT VALLEY RD STE 404
OWENSBORO, KY
ZIP 42303
Phone: (270) 417-7515
Fax: (270) 417-7699

The NPI 1942793666 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 6/7/2018 and was last updated on 7/6/2018.

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	163W00000X	Registered Nurse		1126430	KENTUCKY	No
2	363LG0600X	Nurse Practitioner	Gerontology	3012435	KENTUCKY	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: 11/14/2023

NPI Synchronization or Removal

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