Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE YVETTE FULLER-RICHARDSON, LPN
Active Sole ProprietorMRS. NICOLE YVETTE FULLER-RICHARDSON, LPN is a Licensed Vocational Nurse healthcare provider located in FREEPORT, New York. NPI 1336572429 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · FREEPORT, NY
Registration Details
- NPI Number
- 1336572429
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2013 (12.817270499273 yrs)
- Last Updated
- Aug 13, 2013
- License
-
262710-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
134 WESTSIDE AVEFREEPORT, NY, 115205442Browse NY providers · Browse ZIP 11520
- Phone
- 5163220727
- Fax
- 5163771637
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
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.