Active NPIOrganization

Kyle Fuller APRN LLC

Clinical Nurse Specialist, Psych/Mental Health in Wauregan, Connecticut

NPI Number1821138470
Practice location
19 S Walnut St. Ste C, Wauregan, CT 06387
Fax
860-207-8170
Last updated
October 22, 2019

Kyle Fuller APRN LLC is a healthcare organization based in Wauregan, CT. Kyle Fuller APRN LLC practices in Wauregan, CT. The NPI Number for Kyle Fuller APRN LLC is 1821138470 and holds a License No. 002043 (CT). The current practice location address for Kyle Fuller APRN LLC is 19 S Walnut St. Ste C, Wauregan, CT 06387 and can be reached out via phone at 860-207-8160 and via fax at 860-207-8170.

Provider Profile Details

NPI Number
1821138470
Provider Name
Kyle Fuller APRN LLC
Provider Entity Type
Organization
Address
19 S Walnut St. Ste C, Wauregan, CT 06387
Phone Number
860-207-8160
Fax Number
860-207-8170
Organization Subpart
No
Authorized Official
Ms. Kyle J Fuller, APRN · Owner/Sole Proprietor · 860-207-8160
Provider Enumeration Date
February 6, 2007
Last Update Date
October 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 S Walnut St. Ste C
Wauregan, CT 06387
Zip
06387
Phone Number
860-207-8160
Fax Number
860-207-8170
Wauregan, CT 06387Get directions →

Provider Business Mailing Address Details

Address
19 S Walnut St. Ste C
P. O. Box 530
Wauregan, CT 06387
City
Wauregan
State
CT
Zip
06387
Phone Number
860-207-8160
Fax Number
860-207-8170

License Information

License Number (1)
002043
License State (1)
CT
License Number (2)
002043
License State (2)
CT
Taxonomy (2)
Clinical Nurse Specialist, Psych/Mental Health · 364SP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kyle Fuller APRN LLC?

The NPI number of Kyle Fuller APRN LLC is 1821138470. It was assigned on February 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Kyle Fuller APRN LLC?

Kyle Fuller APRN LLC is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health (code 364SP0808X), licensed in CT under license number 002043.

Where does Kyle Fuller APRN LLC practice?

The practice location is 19 S Walnut St. Ste C, Wauregan, CT 06387. The office can be reached at 860-207-8160 (phone) or 860-207-8170 (fax).

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 1821138470 directly on the NPPES registry website.

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