Individual provider · Type 1 NPI
Edwana Denise Fuller, RN
Medical-Surgical Registered Nurse · Chicago, IL
NPI number
1760090765
Active
Practice location
5319 S Indiana Ave Apt 1
Chicago, IL 60615-4712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 28258565A (IN) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1760090765
Edwana Denise Fuller, RN's National Provider Identifier is 1760090765, issued on Jul 16, 2020. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Chicago, IL. The record was last updated on Jul 16, 2020.