Tiarah Fluellen, is a
Licensed Practical Nurse based in Broomall, Pennsylvania. Tiarah Fluellen is licensed to practice in Pennsylvania (license number PN306173) and current practice location is
Po Box 632, Broomall, Pennsylvania. can be reached at office (for appointments etc.) via phone at
(856) 952-0773.
NPI number for Tiarah Fluellen is 1912872078 and current mailing address is 1314 E 13th St Fl 2, Crum Lynne, Pennsylvania.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1912872078.
Provider's Profile
| Full Name | Tiarah Fluellen |
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| Gender | |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | Po Box 632, Broomall, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912872078
- Provider Enumeration Date: 10/08/2025
- Last Update Date: 10/08/2025
Medical Identifiers
Medical identifiers for Tiarah Fluellen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912872078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | PN306173 (Pennsylvania) | 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. Tiarah Fluellen 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 Address | Practice Location Address |
Tiarah Fluellen, 1314 E 13th St Fl 2, Crum Lynne, PA 19022-1342 Ph: () - | Tiarah Fluellen, Po Box 632, Broomall, PA 19008-0632 Ph: (856) 952-0773 |
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