Individual provider · Type 1 NPI

Trisha Marie Fuller

Licensed Practical Nurse · Port Jervis, NY

NPI number 1184404436 Active

Practice location

17 Cahoonzie St
Port Jervis, NY 12771-1206

Call (845) 222-8414 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X306625 (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 1184404436

Trisha Marie Fuller's National Provider Identifier is 1184404436, issued on Oct 4, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jervis, NY. The record was last updated on Oct 4, 2023.