Individual provider · Type 1 NPI

Desere Fullerton, RN

Registered Nurse · Brooklyn, NY

NPI number 1053700658 Active

Practice location

1024 New York Avenue, 5th Floor
Brooklyn, NY 11203

Mailing address

1024 New York Ave, 1F
Brooklyn, NY 11203-3827

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X694924 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053700658

Desere Fullerton, RN's National Provider Identifier is 1053700658, issued on Jan 20, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 25, 2017.