Organization
KYLE FULLER APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KYLE J FULLER APRN (OWNER/SOLE PROPRIETOR)
(860) 207-8160
Entity
Organization
Contact information
Practice address
19 S WALNUT ST. STE C, WAUREGAN, CT 06387
(860) 207-8160
(860) 207-8170
Mailing address
19 S WALNUT ST. STE C, P. O. BOX 530, WAUREGAN, CT 06387
(860) 207-8160
(860) 207-8170
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
002043
CT
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
002043
CT
Other
Enumeration date
02/06/2007
Last updated
10/22/2019
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