ANGELIA FULLER (NPI# 1366866204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366866204 |
| Entity Type | Individual |
| Full Name | ANGELIA FULLER |
| Credential | ARNP |
| Practice Address |
140 S Beach St Ste 202 Daytona Beach FL 32114-4409 |
| Mailing Address |
841 Stacy Ln New Smyrna Beach FL 32168-7505 |
| Practice Telephone | 8885068836 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9170137 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 346 N Ridgewood Ave Ste A, Edgewater, FL 321321672 | 3864231888 |
| Street Address |
140 S BEACH ST STE 202 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770514564 | Valerie Karen Messina | Nurse Practitioner | 140 S Beach St Ste 202, Daytona Beach, FL 32114-4409 | 2006-07-06 |
| 1265915359 | Mobile Visiting Practitioners, LLC | Nurse Practitioner | 140 S Beach St Ste 202, Daytona Beach, FL 32114-4409 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840378 | Dee Ann Akers | Nurse Practitioner | 2085 S Halifax Dr, Daytona Beach, FL 32118-5205 | 2020-10-28 |
| 1275140766 | Tolgonay Agamez-morales | Nurse Practitioner | 133 Integra Breeze Ln Unit 303, Daytona Beach, FL 32117-5585 | 2020-09-28 |
| 1144839861 | Amy Decker | Nurse Practitioner | 1329 Tomoka Town Center Dr Apt 102, Daytona Beach, FL 32117-5187 | 2020-07-28 |
| 1629691308 | Johana Daniels | Nurse Practitioner | 1437 Admiral Halsey Ave, Daytona Beach, FL 32124-3614 | 2020-05-28 |
| 1003436189 | Ashley Gillette | Nurse Practitioner | 112 Milton Rd, Daytona Beach, FL 32118-5411 | 2020-04-20 |
| 1871066373 | Tammy Jo Leggett | Nurse Practitioner | 826 N Wild Olive Ave, Daytona Beach, FL 32118-3727 | 2019-01-07 |
| 1184197949 | Maria Vessell | Nurse Practitioner | 311 N Clyde Morris Blvd Ste 550, Daytona Beach, FL 32114-2766 | 2019-01-04 |
| 1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
| 1750899217 | Tayanna Giselle Lawlor | Nurse Practitioner | 1890 Lpga Blvd Ste 170, Daytona Beach, FL 32117-7131 | 2018-01-18 |
| 1871028803 | Susan Kamelgarn | Nurse Practitioner | 104 La Costa Lane, Suite 120, Daytona Beach, FL 32114 | 2017-04-27 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on ANGELIA FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.