Ms. Marcia D Fullwood, ANP/GNP
Nurse Practitioner, Adult Health in East Orange, New Jersey
1164601225- Practice location
- 87 Watson Ave, East Orange, NJ 07018-3303
- Phone
- 862-520-2371
- Fax
- —
- Last updated
- October 25, 2007
Marcia Doreen Fullwood is a Nurse Practitioner, Adult Health based in East Orange, NJ. Marcia Doreen Fullwood practices in East Orange, NJ and has the professional credentials of ANP/GNP. The NPI Number for Marcia Doreen Fullwood is 1164601225 and holds a License No. F304754-1 (NY). The current practice location address for Marcia Doreen Fullwood is 87 Watson Ave, East Orange, NJ 07018-3303 and can be reached out via phone at 862-520-2371.
Provider Profile Details
- NPI Number
- 1164601225
- Provider Name
- Marcia Doreen Fullwood
- Credential
- ANP/GNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 87 Watson Ave, East Orange, NJ 07018-3303
- Phone Number
- 862-520-2371
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 25, 2007
- Last Update Date
- October 25, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 87 Watson Ave
East Orange, NJ 07018-3303 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3303
- Phone Number
- 862-520-2371
Provider Business Mailing Address Details
- Address
- 87 Watson Ave
East Orange, NJ 07018-3303 - City
- East Orange
- State
- NJ
- Zip
- 07018-3303
- Phone Number
- 862-520-2371
License Information
- License Number (1)
- F304754-1
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
- License Number (2)
- F340688-1
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Marcia D Fullwood, ANP/GNP?
The NPI number of Ms. Marcia D Fullwood, ANP/GNP is 1164601225. It was assigned on October 25, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Marcia D Fullwood, ANP/GNP?
Ms. Marcia D Fullwood, ANP/GNP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number F304754-1.
Where does Ms. Marcia D Fullwood, ANP/GNP practice?
The practice location is 87 Watson Ave, East Orange, NJ 07018-3303. The office can be reached at 862-520-2371 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164601225 directly on the NPPES registry website.