Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY DEMETRIUS FULLER, L.P.N
Active Sole ProprietorMR. ANTHONY DEMETRIUS FULLER, L.P.N is a Licensed Practical Nurse healthcare provider located in AMITYVILLE, New York. NPI 1073636494 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · AMITYVILLE, NY
Registration Details
- NPI Number
- 1073636494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2007 (19.3479062392 yrs)
- Last Updated
- Jul 8, 2007
- License
-
228275 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44 THE BLVDAMITYVILLE, NY, 117011433Browse NY providers · Browse ZIP 11701
- Phone
- 6316088741
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in AMITYVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. ELAINE C CHINNOCK | LPN | 1649324054 |
| MRS. DORCAS RACHAEL MCFARLANE | — | 1063620508 |
| TIESHA MARIE NELSON | LPN | 1326226762 |
| LAURNA BLACKWOOD | LPN | 1144477621 |
| MRS. NICOLE CLINTON | LPN | 1912237603 |
| EDWINA ARLENE JONES | LPN | 1912237082 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.