Individual
MEGAN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
(702) 474-4104
(702) 474-4108
Mailing address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
(702) 474-4104
(702) 474-4108
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
820160
NV
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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