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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARL LAMAR FULLER

Active

CARL LAMAR FULLER is a Registered Nurse healthcare provider located in GALLUP, New Mexico. NPI 1710279104 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · GALLUP, NM

Registration Details

NPI Number
1710279104
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2011 (15.250872606487 yrs)
Last Updated
Jun 5, 2013
Licenses
RN167051 (AZ)
817553 (CA)

Practice Information

Address
516 E NIZHONI BLVD
GALLUP, NM, 873015748
Browse NM providers · Browse ZIP 87301
Phone
5057221000
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Pediatric Nurse

Other Registered Nurse Providers in GALLUP, NM

Name Credential NPI
MS. KELLY A JOHNSON RN 1538160213
GERI A GOFFE CNM 1023048840
MRS. WALINDA BLATCHFORD SANCHEZ R.N. 1932291770
NANCY C ISON RN 1417038282
ODETTE N'DOUFFOU KOFFI RN 1316139546
DARLENE STEPHENS RN 1164614822
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.