Antonette Fuller
Nurse Practitioner, Family in Glastonbury, Connecticut
1952124091- Practice location
- 2639 Main St, Glastonbury, CT 06033-2023
- Phone
- 860-659-1329
- Fax
- —
- Last updated
- November 25, 2024
Antonette Fuller is a Nurse Practitioner, Family based in Glastonbury, CT. Antonette Fuller practices in Glastonbury, CT. The NPI Number for Antonette Fuller is 1952124091 and holds a License No. 14117 (CT). The current practice location address for Antonette Fuller is 2639 Main St, Glastonbury, CT 06033-2023 and can be reached out via phone at 860-659-1329.
Provider Profile Details
- NPI Number
- 1952124091
- Provider Name
- Antonette Fuller
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2639 Main St, Glastonbury, CT 06033-2023
- Phone Number
- 860-659-1329
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 6, 2024
- Last Update Date
- November 25, 2024
- Certification Date
- November 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2639 Main St
Glastonbury, CT 06033-2023 - City
- Glastonbury
- State
- Connecticut
- Zip
- 06033-2023
- Phone Number
- 860-659-1329
Provider Business Mailing Address Details
- Address
- 2639 Main St
Glastonbury, CT 06033-2023 - City
- Glastonbury
- State
- CT
- Zip
- 06033-2023
License Information
- License Number
- 14117
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
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 Antonette Fuller?
The NPI number of Antonette Fuller is 1952124091. It was assigned on November 6, 2024 and is currently active in the NPPES registry.
What is the specialty of Antonette Fuller?
Antonette Fuller is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 14117.
Where does Antonette Fuller practice?
The practice location is 2639 Main St, Glastonbury, CT 06033-2023. The office can be reached at 860-659-1329 (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 1952124091 directly on the NPPES registry website.