MS. CATHY M FULLER (NPI# 1972873206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972873206 |
| Entity Type | Individual |
| Full Name | MS. CATHY M FULLER |
| Credential | ANP |
| Practice Address |
1110 N Henness Rd Lot 1269 Casa Grande AZ 85122-5559 |
| Practice Telephone | 5208767269 |
| Mailing Telephone | 5208767269 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP3750 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1110 N HENNESS RD LOT 1269 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-5559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497051098 | Lois C Miracle | Nurse Practitioner | 1541 E Manor Dr, Casa Grande, AZ 85122-5617 | 2011-01-31 |
| 1629078829 | Tina Nadine Hoover | Nurse Practitioner | 900 E Florence Blvd, Ste. H, Casa Grande, AZ 85222-4666 | 2005-07-28 |
| 1457911810 | Sarah Jean Davis | Nurse Practitioner | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2019-06-18 |
| 1245571413 | Grace Sl Snyder | Nurse Practitioner | 275 E Cottonwood Ln, Suite 3, Casa Grande, AZ 85122-2556 | 2013-03-12 |
| 1083844757 | Carolyn Beth Schooley | Nurse Practitioner | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 | 2009-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947404 | Alyssa Marie Lehn | Nurse Practitioner | 7501 E Mcdowell Rd Apt 3167, Scottsdale, AZ 85257-3574 | 2020-09-22 |
| 1205440310 | Alexa Kucharo | Nurse Practitioner | 4111 N Drinkwater Blvd Apt B405, Scottsdale, AZ 85251-3658 | 2020-09-04 |
| 1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
| 1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
| 1134746951 | Leah Beth Richardson | Nurse Practitioner | 2970 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7831 | 2020-06-27 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
| 1821621996 | Healthy Scottsdale, LLC | Nurse Practitioner | 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 | 2020-02-18 |
| 1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
| 1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on MS. CATHY M 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.