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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704188418 | MI | Nursing Service Providers |
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 |
Street Address |
1620 44TH ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49508-5002 |
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 |
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 |
Find all providers in zip 49508 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922596634 | Kelly Ann Bigger | Registered Nurse | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2018-04-27 |
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 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49508 |
Please comment or provide details below to improve the information on MRS. PAMELA MARY FULLER.
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.