Fuller, Charlotte Michelle

Fuller, Charlotte Michelle is an individual health care provider with primary practice located at 4430 Highway 22 , Mandeville LA 70471-3310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuller, Charlotte Michelle can be contacted via phone (985) 626-3470.

Contact Information

Primary practice address
4430 Highway 22 Mandeville LA 70471-3310
Phone: (985) 626-3470
Fax: (985) 674-5377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP09163 Louisiana

Profile Details

NPI number 1033657580
LBN Legal business name Fuller, Charlotte Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2017
Last updated Jun 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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