Fuller, Tina

Fuller, Tina is an individual health care provider with primary practice located at 340 S Broadview St , Cape Girardeau MO 63703-5703. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fuller, Tina can be contacted via phone (573) 332-0416.

Contact Information

Primary practice address
340 S Broadview St Cape Girardeau MO 63703-5703
Phone: (573) 332-0416
Fax: (573) 335-2698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2006025670 Missouri

Profile Details

NPI number 1659879096
LBN Legal business name Fuller, Tina
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2018
Last updated Feb 7th, 2026 - about 8 months 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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