NINO FULLER (NPI# 1962974469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962974469 |
Entity Type | Individual |
Full Name | NINO FULLER |
Credential | AGACNP-BC |
Practice Address |
23914 County Road 3313 Chandler TX 75758 |
Practice Telephone | 6072261012 |
Mailing Telephone | 6072261012 |
Enumeration Date | 2018-12-20 |
Last Update Date | 2018-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
866207 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS BON | 866207 | 01 |
Street Address |
23914 COUNTY ROAD 3313 |
City | CHANDLER |
State | TX |
Zip Code | 75758 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534979 | Thomas Carder | Pharmacist | 703 Highway 31 E, Chandler, Texas, TX 75758 | 2020-10-06 |
1598382871 | Richard William Limehouse Jr. | Pharmacist | 703 Highway 31, Chandler, TX 75758 | 2020-07-02 |
1750932554 | Alisa Victoria Cook | Technician | 529 Pecos Dr, Chandler, TX 75758 | 2019-09-23 |
1649700386 | Will Mayfield Dds, Pllc | Dentist | 216 Jones Street, Chandler, TX 75758 | 2017-06-15 |
1073960969 | Tamra Lynn Anderson | Registered Nurse | 803 Highway 31 E, Chandler, TX 75758 | 2016-05-20 |
1265837595 | Joe Spradley | Contractor | 2360 Hwy 315 S, Chandler, TX 75758 | 2014-10-29 |
1700125275 | East Texas Recovery | Substance Abuse Rehabilitation Facility | 700 State Hwy 31, Suite 100, Chandler, TX 75758 | 2013-02-04 |
1922266998 | Mary Margaret Brown | Physical Therapist | 321 Hwy 31e, Chandler, TX 75758 | 2008-05-27 |
1578754537 | Jeremy Ray Gregory | Specialist/Technologist | 405 S Broad St, Chandler, TX 75758 | 2007-08-06 |
1912054081 | Compassionate Hospice Care, Inc. | Hospice Care, Community Based | 625 Hwy 31 E, Suite 3, Chandler, TX 75758 | 2007-01-04 |
Find all providers in zip 75758 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326645250 | Nalini Thangaraju | Nurse Practitioner | 4426 E Yellowstone Pl, Chandler, AZ 85249-0512 | 2020-10-04 |
1679034623 | Jonnelle Lynne Dietz | Nurse Practitioner | 3230 N Woodburne Dr, Chandler, AZ 85224-1061 | 2019-03-30 |
1992139398 | Dana Lynn Paquin | Nurse Practitioner | 1100 S Dobson Rd Ste A105, Chandler, AZ 85286-6157 | 2013-08-21 |
1346685492 | Adrianna Sylvia-d'anella Goldstein | Nurse Practitioner | 1383 W Oriole Way, Chandler, AZ 85286-4361 | 2013-05-02 |
1225653694 | Stephanie Flores | Nurse Practitioner | 1960 W Frye Rd Ste 5, Chandler, AZ 85224-6238 | 2020-06-11 |
1952946071 | Renee Lopez | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2019-11-13 |
1962058818 | Felecia Woods | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2019-08-16 |
1013481670 | Saralyn Heddleston | Nurse Practitioner | 485 S Dobson Rd Ste 201, Chandler, AZ 85224 | 2019-01-17 |
1972075125 | Michael Gasbarro | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2018-12-28 |
1316422777 | Chris Tran First Assist LLC | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2018-10-01 |
Find all providers in CHANDLER |
Please comment or provide details below to improve the information on NINO 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.