| Mrs Haley Fuller, FNP-C | |
|
2304 Marketplace Dr, Waco, TX 76711-2467 | |
| (254) 202-2000 | |
| Not Available |
| Full Name | Mrs Haley Fuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2304 Marketplace Dr, Waco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932580131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP128441 (Texas) | Primary |
| Entity Name | Providence Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Haley Fuller, FNP-C Po Box 848476, Dallas, TX 75284-8476 Ph: Not Available | Mrs Haley Fuller, FNP-C 2304 Marketplace Dr, Waco, TX 76711-2467 Ph: (254) 202-2000 |
Leslie P Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Gurley Lane, Waco, TX 76706 Phone: 254-313-6000 Fax: 254-313-4531 |
Tyler Adam Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 877-724-5437 |
Eidel Nerli Adams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 254-751-4000 |
Manita Lamichhane, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1311 S 5th St, Waco, TX 76798 Phone: 254-710-2292 |
Mrs. Lori Elaine Hutson, RNC NNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 |
Emily Heeringa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 |
Jared Blake Griffin, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2900 |