Mary Fuller, DNP

Nurse Practitioner · Kewanee, IL

Individual Active NPI

NPI number 1497364053

Practice location

110 N Burr Blvd
Kewanee, IL 61443-2214
Phone
(309) 852-0197
Fax
(309) 854-5575

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NPI record

NPI
1497364053
Entity type
Individual (Type 1)
Enumeration date
July 29, 2020
Last updated
August 4, 2020
Certified
August 4, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209021513 IL
Public Health & General Preventive Medicine Physician 2083P0901X 209021513 IL
Primary Care Nurse Practitioner 363LP2300X 209021513 IL

About Dr. Fuller

Mary Fuller, DNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 110 N Burr Blvd, Kewanee, IL 61443-2214. The NPI number 1497364053 was assigned on July 29, 2020 and the record was last updated on August 4, 2020.

Dr. Fuller lists 3 licenses in the registry: #209021513 (IL) for Nurse Practitioner; #209021513 (IL) for Public Health & General Preventive Medicine Physician; #209021513 (IL) for Primary Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Fuller, DNP?

The NPI number is 1497364053.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (309) 852-0197.

Where is Dr. Fuller located?

110 N Burr Blvd, Kewanee, IL 61443-2214.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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