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Tina Fuller, LPN
Licensed Practical Nurse in Cape Girardeau, Missouri
NPI 1659879096

Tina Fuller is a Licensed Practical Nurse based in Cape Girardeau, MO. Tina Fuller practices in Cape Girardeau, MO and has the professional credentials of LPN. The NPI Number for Tina Fuller is 1659879096 and holds a License No. 2006025670 (Missouri).

The current practice location address for Tina Fuller is 340 S Broadview St, Cape Girardeau, MO and can be reached out via phone at 573-332-0416 and via fax at 573-335-2698.

Location: 340 S Broadview St, Cape Girardeau, MO, 63703-5703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659879096
Provider Name
Tina Fuller
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
340 S Broadview St, Cape Girardeau, MO, 63703-5703
Phone Number
573-332-0416
Fax Number
573-335-2698
Provider Enumeration Date
01/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 S Broadview St
City
Cape Girardeau
State
Missouri
Zip
63703-5703
Phone Number
573-332-0416
Fax Number
573-335-2698
person
Provider Business Mailing Address Details
Address
340 S Broadview St
City
Cape Girardeau
State
Missouri
Zip
63703-5703
Phone Number
573-332-0416
Fax Number
573-335-2698
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2006025670 (Missouri)
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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