Miss Terrell A Fuller, LPN - Licensed Practical Nurse in Newark, NJ

Miss Terrell A Fuller, LPN is a Licensed Practical Nurse based in Newark, New Jersey. Miss Terrell A Fuller is licensed to practice in Maryland (license number LP53855) and her current practice location is 561 Irvington Ave, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 373-0387.

NPI number for Miss Terrell A Fuller is 1336838267 and her current mailing address is 850 Stephenson Hwy Ste 612, Troy, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336838267.

Contact Information

Miss Terrell A Fuller, LPN
561 Irvington Ave,
Newark, NJ 07106-3103
(973) 373-0387
Not Available

Map and Direction




Provider's Profile

Full NameMiss Terrell A Fuller
GenderFemale
SpecialityLicensed Practical Nurse
Location561 Irvington Ave, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336838267
  • Provider Enumeration Date: 05/05/2023
  • Last Update Date: 05/05/2023

Medical Identifiers

Medical identifiers for Miss Terrell A Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336838267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP53855 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Terrell A Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Terrell A Fuller, LPN
850 Stephenson Hwy Ste 612,
Troy, MI 48083-1127

Ph: (888) 451-2519
Miss Terrell A Fuller, LPN
561 Irvington Ave,
Newark, NJ 07106-3103

Ph: (973) 373-0387

Reviews and Comments


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