Individual provider · Type 1 NPI

Mary Fuller, LPN

Registered Nurse · New Haven, CT

NPI number 1285034058 Active

Practice location

495 Congress Ave
New Haven, CT 06519-1312

Fax (203) 781-4624

Mailing address

1 Long Wharf Dr
New Haven, CT 06511-5991

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X132485 (CT)
Licensed Practical Nurse 164W00000X36259 (CT)

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 1285034058

Mary Fuller, LPN's National Provider Identifier is 1285034058, issued on Aug 29, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in New Haven, CT. The record was last updated on Mar 28, 2017.