Individual provider · Type 1 NPI

Tamara Ann Fuller, FNP-BC

Family Nurse Practitioner · South Bend, IN

NPI number 1891420154 Active

Practice location

100 Navarre Pl Ste 5550
South Bend, IN 46601-1169

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

  • 100 Navarre Pl Ste 6600, South Bend, IN 46601-1173 · (574) 647-8800

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28132899A (IN)
Family Nurse Practitioner Primary 363LF0000X71012996A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1891420154

Tamara Ann Fuller, FNP-BC's National Provider Identifier is 1891420154, issued on Jul 20, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Nov 8, 2023.