Individual provider · Type 1 NPI

Tanara Sharay Fuller, LPN

Licensed Practical Nurse · Dayton, OH

NPI number 1164720181 Active

Practice location

4555 Longfellow Ave
Dayton, OH 45424-5952

Call (937) 823-4102 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN-143449-M-IV (OH)

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 1164720181

Tanara Sharay Fuller, LPN's National Provider Identifier is 1164720181, issued on Mar 1, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on Jun 22, 2016.