Individual provider · Type 1 NPI

Michael Fuller, LPN

Licensed Practical Nurse · Mayfield, KY

NPI number 1013577667 Active

Practice location

1539 Cuba Rd
Mayfield, KY 42066-6809

Mailing address

425 Broadway St Ste 201
Paducah, KY 42001-0713

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN0000092565 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013577667

Michael Fuller, LPN's National Provider Identifier is 1013577667, issued on Jun 17, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mayfield, KY. The record was last updated on Jun 17, 2019.