Individual provider · Type 1 NPI

Anthony Demetrius Fuller, L.P.N

Licensed Practical Nurse · Amityville, NY

NPI number 1073636494 Active

Practice location

44 The Blvd
Amityville, NY 11701-1433

Call (631) 608-8741 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X228275 (NY)

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 1073636494

Anthony Demetrius Fuller, L.P.N's National Provider Identifier is 1073636494, issued on Apr 9, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Amityville, NY. The record was last updated on Jul 8, 2007.