MRS. CANDENA MARIE FULLER (NPI# 1992335707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992335707 |
| Entity Type | Individual |
| Full Name | MRS. CANDENA MARIE FULLER |
| Other Name | MRS. CANDY MARIE FULLER |
| Practice Address |
10 Canterbury Cir Batesville AR 72501-9185 |
| Practice Telephone | 8703074610 |
| Mailing Telephone | 8703074610 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| 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 |
R085242 | AR | Nursing Service Providers |
| Street Address |
10 CANTERBURY CIR |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-9185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715180 | Ronald F. Henson | Registered Nurse | 8067 Highway 336 W, Clinton, AR 72031-8438 | 2019-08-09 |
| 1144459355 | Melanie Sterling & Assoc LLC | Registered Nurse | 2796 S 2nd St, Suite E, Cabot, AR 72023-7020 | 2009-07-09 |
| 1902933187 | Carol Ruth Vela | Registered Nurse | 2400 S 48th Street, Springdale, AR 72762 | 2007-02-27 |
| 1174617385 | Peggy Susan Morrow | Registered Nurse | 3805 Mccain Park Dr 116, North Little Rock, AR 72116-7813 | 2006-10-03 |
| 1477652089 | Tamra Sue Mcgehee | Registered Nurse | 311 Whittington Ave, Hot Springs, AR 71901-3407 | 2006-09-21 |
| 1003843277 | Jo Ann Clay | Registered Nurse | 680 Hogan Ln, Conway, AR 72034-8131 | 2006-06-26 |
| 1033728266 | Cody Burkett | Registered Nurse | 11700 Kanis Rd Ste 2, Little Rock, AR 72211-3794 | 2020-07-23 |
| 1639701022 | Ryan Nikolai Leslie | Registered Nurse | 10025 W Markham St Ste 210, Little Rock, AR 72205-2178 | 2020-02-04 |
| 1578050696 | Jon Paul Bradley | Registered Nurse | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2018-04-13 |
| 1851690994 | Roxanne Hunter | Registered Nurse | 1014 Autumn Rd, Suite 4, Little Rock, AR 72211-3704 | 2011-03-15 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
Please comment or provide details below to improve the information on MRS. CANDENA MARIE 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.