Charlotte Michelle Fuller (NPI# 1033657580, PAC ID# 6800164849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033657580 |
| PAC ID by PECOS | 6800164849 |
| Professional Enrollment ID | I20170616000937 |
| Full Name | Charlotte Michelle Fuller |
| Organization Legal Name | NORTHSHORE REDI-MED LLC |
| Address |
4430 Hwy 22 Mandeville LA 70471-3310 |
| Phone Number | 9856263470 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163609660 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4430 Hwy 22, Mandeville, LA 70471-3310 | 9856263470 | NORTHSHORE REDI-MED LLC |
| 231 N Carrollton Ave, Suite B, New Orleans, LA 70119-5160 | 5048313112 | OCHSNER CLINIC LLC |
| 318 N Canal Blvd, Thibodaux, LA 70301-2996 | 9854465210 | OCHSNER CLINIC LLC |
| Organization Legal Name | NORTHSHORE REDI-MED LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Naeem | Emergency Medicine | Northshore Redi-med LLC | 4430 Hwy 22, Mandeville, LA 70471-3310 |
| Tuan B Nguyen | Emergency Medicine | Northshore Redi-med LLC | 4430 Hwy 22, Mandeville, LA 70471-3310 |
| Street Address |
4430 HWY 22 |
| City | MANDEVILLE |
| State | LA |
| Zip | 70471-3310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Naeem | Emergency Medicine | Northshore Redi-med LLC | 4430 Hwy 22, Mandeville, LA 70471-3310 |
| Tuan B Nguyen | Emergency Medicine | Northshore Redi-med LLC | 4430 Hwy 22, Mandeville, LA 70471-3310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobette M Laurendine | Clinical Social Worker | 4038 Desoto St, Mandeville, LA 70471-1804 | |
| Joseph E Tusa | Family Practice | Lmchh PCp LLC | 2190 N Causeway Blvd, Mandeville, LA 70471-1807 |
| David A Levy | Nurse Practitioner | Lmchh PCp LLC | 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471-1807 |
| Michele Mixon | Clinical Social Worker | Michele Mixon Caputo, Lcsw | 2244 11th St, Mandeville, LA 70471-1824 |
| Nancy Dominick Gravel | Chiropractic | 2201 11th St, Suite 1, Mandeville, LA 70471-1830 | |
| James M Mccue | Chiropractic | 655 Asbury Dr, Mandeville, LA 70471-1845 | |
| Jeffrey C. Marston | Chiropractic | 655 Asbury Dr, Mandeville, LA 70471-1845 | |
| Brenton G Schulz | Chiropractic | 3701 Hwy 59 D, Mandeville, LA 70471-1905 | |
| Hilary Stephen Watson | Urology | 1665 Dove Park Rd, Suite 700, Mandeville, LA 70471-1929 | |
| Melissa M Hoffmann | Chiropractic | 3933 Hwy 59, Suite A, Mandeville, LA 70471-1958 | |
| Find all physicians in zip 70471 | |||
| City | MANDEVILLE |
| Zip Code | 70471 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANDEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charlotte Michelle Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.