MS. KOLLEEN MARIAN FULLER RNNP NPI 1952421059

NPI Information

NPI: 1952421059
Provider Name: MS. KOLLEEN MARIAN FULLER, RNNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
736 IRVING AVE
SYRACUSE, NY
ZIP 13210
Phone: (315) 470-7111
Get Directions

MS. Kolleen Marian Fuller, RNNP is an acute care nurse practitioner in Syracuse, NY. MS. Kolleen Marian Fuller, RNNP NPI is 1952421059. 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:

736 IRVING AVE
SYRACUSE, NY
ZIP 13210-687
Phone: (315) 470-7111
Fax: (315) 470-2642

The NPI 1952421059 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 3/30/2007 and was last updated on 7/8/2007.

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	363LA2100X	Nurse Practitioner	Acute Care	300761-1	NEW YORK	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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