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Mr. Anthony Demetrius Fuller, LPN
Licensed Practical Nurse in Amityville, New York
NPI 1073636494

Anthony Demetrius Fuller is a Licensed Practical Nurse based in Amityville, NY. Anthony Demetrius Fuller practices in Amityville, NY and has the professional credentials of LPN. The NPI Number for Anthony Demetrius Fuller is 1073636494 and holds a License No. 228275 (New York).

The current practice location address for Anthony Demetrius Fuller is 44 The Blvd, Amityville, NY and can be reached out via phone at 631-608-8741.

Location: 44 The Blvd, Amityville, NY, 11701-1433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073636494
Provider Name
Anthony Demetrius Fuller
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
44 The Blvd, Amityville, NY, 11701-1433
Phone Number
631-608-8741
Fax Number
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44 The Blvd
City
Amityville
State
New York
Zip
11701-1433
Phone Number
631-608-8741
Fax Number
person
Provider Business Mailing Address Details
Address
44 The Blvd
City
Amityville
State
New York
Zip
11701-1433
Phone Number
631-608-8741
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
228275 (New York)
Definition
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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