Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY L FULLER
Active Sole ProprietorTRACEY L FULLER is a Prosthetic/Orthotic Supplier healthcare provider located in GREEN BAY, Wisconsin. NPI 1770397184 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · GREEN BAY, WI
Registration Details
- NPI Number
- 1770397184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2025 (1.3317314179618 yrs)
- Last Updated
- Feb 5, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1255 S MONROE AVE STE 102GREEN BAY, WI, 543013054Browse WI providers · Browse ZIP 54301
- Phone
- 9202469710
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| STACEY M NELLEN-KOLZE | — | 1477892412 |
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.