MRS. PAMELA MARY FULLER


Address: 1620 44th St Se, Grand Rapids, MI 49508-5002
Phone: 6162436262

MRS. PAMELA MARY FULLER (NPI# 1851946958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851946958
Entity Type Individual
Full Name MRS. PAMELA MARY FULLER
Credential RN
Practice Address 1620 44th St Se
Grand Rapids
MI 49508-5002
Practice Telephone 6162436262
Practice Fax Number 6162436969
Mailing Telephone 6162436262
Mailing Fax Number 6162436969
Enumeration Date 2019-08-06
Last Update Date 2019-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
4704188418 MI Nursing Service Providers

Other Providers PAMELA FULLER

NPI Name Taxonomy Address Enumeration
1336778323 Pamela Fay Fuller Home Health Aide 3727 Candleglenn, San Antonio, TX 78244-2153 2020-04-02
1053469452 Pamela R Fuller Psychologist 724 Front Street Suite 230, Evanston, WY 82930 2007-01-08
1548337579 Pamela Ann Fuller Nurse Practitioner 1508 Sandgate Rd, Midlothian, VA 23113-2446 2006-11-28
1588171136 Pamela Ann Fuller Marriage & Family Therapist 1329 Lincoln St Ste 1, Bellingham, WA 98229-6279 2018-01-04
1326424789 Pamela Fuller Case Manager/Care Coordinator 132 Lower Ridge Rd, Conway, AR 72032-8518 2015-08-07
1710968441 Pamela Gail Fuller Social Worker 550 Pope Ave, Munson Army Health Center (attn: Mxcn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 2005-11-09

Office Location

Street Address 1620 44TH ST SE
City GRAND RAPIDS
State MI
Zip Code 49508-5002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770522401 Robert John Kantor Preventive Medicine 1620 44th St Se, Grand Rapids, MI 49508-5002 2006-06-06
1144875105 Amanda Grace Smith Social Worker 1620 44th St Se, Grand Rapids, MI 49508-5002 2019-08-07
1972165595 Jonathan Kevin Englund Social Worker 1620 44th St Se, Grand Rapids, MI 49508-5002 2019-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063012367 Jenna Brianne Labrecque Social Worker 2013 East Castle Dr, Suite B, Kentwood, MI 49508 2020-10-27
1881208809 Morgan Paige Ballmann Physical Therapy Assistant 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 2020-09-08
1699385740 Jodie Lynn Robertson Prosthetist 3720 Eastern Se, Grand Rapids, MI 49508 2020-08-04
1003460874 Derm Institute of West Michigan Plc Dermatology 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 2019-07-30
1255801833 Ikeia Tynika Hill Licensed Practical Nurse 1627 Lotus, Grand Rapids, MI 49508 2018-11-27
1326556838 Araceli Contreras-hernandez Behavior Technician 3566 Eastern Ave. Se, Kentwood, MI 49508 2018-01-18
1881102788 A Grand Rapids Senior Social Exchange and Adult Day Center In Home Supportive Care 3212 Eastern Ave Se, Grand Rapids, MI 49508 2018-01-14
1952827107 Nupoint Services LLC Clinic/Center 1620 44th Street Se, Grand Rapids, MI 49508 2017-08-19
1710427695 Embracing Life Afc Custodial Care Facility 1405 Forrester St S.e., Grand Rapids, MI 49508 2017-02-27
1083162838 Katherine Berenice Campoverde Arevalo Technician, Other 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 2016-09-21
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Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922596634 Kelly Ann Bigger Registered Nurse 1215 Fulton St E, Grand Rapids, MI 49503-3849 2018-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699123471 Kimberly Wells Registered Nurse 519 E Brook Dr, Newaygo, MI 49337-8573 2016-06-02
1023498409 Kelli Markarian Registered Nurse 9101 William St, Taylor, MI 48180-2822 2015-06-01
1881072395 Gregory Pula Registered Nurse 706 Pemberton Ln, Jackson, MI 49203-7127 2015-05-16
1215377304 Carol Ann Mcneil Registered Nurse 2800 Ore Valley Dr, Hartland, MI 48353-2810 2013-07-03
1336321215 Sandra Marion Stetz Registered Nurse 3483 Clintonville Rd, Waterford, MI 48329-2227 2007-12-03
1902088016 Pam Nemer Registered Nurse 7177 Magnolia Ln, Waterford, MI 48327-4421 2007-11-30
1760089148 Ambor Lynn Sanders Registered Nurse 1022 E Main St, Benton Harbor, MI 49022-3036 2020-10-08
1932715778 Carole A Stacy Registered Nurse 2025 S Washington Ave, Lansing, MI 48910-0828 2020-09-17
1932711652 Renee N/a Pollard Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-08-24
1427660596 Larry Scott Fitzgerald Registered Nurse 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 2020-08-20
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Competitor

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City GRAND RAPIDS
Zip Code 49508

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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