Active NPIIndividual providerSole proprietor

Nicole Fuller

Dietitian, Registered in Glen Rock, New Jersey

NPI Number1922615210
Practice location
11 Austin Pl, Glen Rock, NJ 07452-1701
Fax
—
Last updated
September 30, 2020

Nicole Fuller is a Dietitian, Registered based in Glen Rock, NJ. Nicole Fuller practices in Glen Rock, NJ. The NPI Number for Nicole Fuller is 1922615210. The current practice location address for Nicole Fuller is 11 Austin Pl, Glen Rock, NJ 07452-1701 and can be reached out via phone at 201-739-9161.

Provider Profile Details

NPI Number
1922615210
Provider Name
Nicole Fuller
Provider Entity Type
Individual
Gender
Female
Address
11 Austin Pl, Glen Rock, NJ 07452-1701
Phone Number
201-739-9161
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2020
Last Update Date
September 30, 2020
Certification Date
September 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Austin Pl
Glen Rock, NJ 07452-1701
Zip
07452-1701
Phone Number
201-739-9161
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
11 Austin Pl
Glen Rock, NJ 07452-1701
City
Glen Rock
State
NJ
Zip
07452-1701
Phone Number
201-739-9161

License Information

Taxonomy
Dietitian, Registered · 133V00000X · 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 Nicole Fuller?

The NPI number of Nicole Fuller is 1922615210. It was assigned on September 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Nicole Fuller?

Nicole Fuller is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Nicole Fuller practice?

The practice location is 11 Austin Pl, Glen Rock, NJ 07452-1701. The office can be reached at 201-739-9161 (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 1922615210 directly on the NPPES registry website.

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