MRS. ANTONIA FULLER (NPI# 1942390265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942390265 |
| Entity Type | Individual |
| Full Name | MRS. ANTONIA FULLER |
| Credential | A.R.N.P. |
| Practice Address |
354 Paseo Reyes Drive Saint Augustine FL 32095 |
| Practice Telephone | 9048088595 |
| Practice Fax Number | 9048088596 |
| Mailing Telephone | 9048088595 |
| Mailing Fax Number | 9048088596 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2010-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
1606392 | FL | Nursing Service Providers |
| Street Address |
354 PASEO REYES DRIVE |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| 1528562543 | Predrag Bulic | Pathology | 4501 Avenue A, St Augustine, FL 32095-5206 | 2018-03-23 |
| 1528384989 | Hogans Harvest Inc | Home Health | 4752 Avenue D, St Augustine, FL 32095-5228 | 2010-04-09 |
| Find all providers in zip 32095 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1588211734 | Marcello De Carvalho | Registered Nurse | 7801 Point Meadows Dr Unit 2310, Jacksonville, FL 32256-9142 | 2019-08-22 |
| 1326505017 | Jeanne Gynelle Wooden | Registered Nurse | 5665 Fort Rd, Greenwood, FL 32443-1969 | 2019-02-28 |
| 1184102006 | Kathleen Stewart | Registered Nurse | 2634 Capital Cir Ne Bldg G, Tallahassee, FL 32308-4106 | 2018-08-02 |
| 1326556069 | Rose Ledoux | Registered Nurse | 803 Fairmaiden Ln Apt 2, Brandon, FL 33511-5885 | 2018-01-16 |
| 1598116006 | Virginia Dohn | Registered Nurse | 8189 N Verdino Ter, Crystal River, FL 34428-6975 | 2016-06-27 |
| 1417305756 | Myrlene Merveille | Registered Nurse | 10330 Sw 20th Ct, Miramar, FL 33025-1776 | 2016-05-26 |
| 1255788832 | Jacqueline Ustache | Registered Nurse | 1647 Sun City Center Plz Ste 201, Sun City Center, FL 33573-5334 | 2016-05-24 |
| 1881902617 | Eric John Sebring | Registered Nurse | 5601 N Suwanee Ave, Tampa, FL 33604-7059 | 2010-09-14 |
| 1750614780 | Ewa Elzbieta Owens | Registered Nurse | 3000 41st St Ocean, Guidance Clinic of The Middle Keys, Marathon, FL 33050 | 2009-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32095 |
Please comment or provide details below to improve the information on MRS. ANTONIA 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.