Individual
BEATRICE LYNNE FULLER
Active
Individual
BEATRICE LYNNE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5157986
FL
164W00000X
Licensed Practical Nurse
TLPN003944
PA
164X00000X
Licensed Vocational Nurse
Primary
205047
TX
Other
Enumeration date
05/09/2007
Last updated
09/11/2025
Update your record
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