National Provider Identifier
Carla Judith Fuller, LPN
Carla Judith Fuller, LPN is listed in the NPPES registry with a primary specialty of Pediatric Skilled Nursing Facility in Hornell, NY and a listed phone number of (585) 201-6166.
Profile Overview
- NPI
- 1376724211
- Provider Type
- Individual
- Primary Specialty
- Pediatric Skilled Nursing Facility
- Enumeration Date
- November 20, 2007
- Last Updated
- November 20, 2007
Practice Location
- 88 E Main St
- Hornell, NY 14843-2074
Phone: (585) 201-6166
Mailing Address
- 9 Hughes St E
- PO Box 316
- Belfast, NY 14711-8725
Specialties
- Pediatric Skilled Nursing Facility (3140N1450X)
Full Record
- NPI
- 1376724211
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Carla
- Middle Name
- Judith
- Credential
- LPN
- Mailing Street Address
- 9 Hughes St E
- Mailing Address Line 2
- PO Box 316
- Mailing City
- Belfast
- Mailing State
- NY
- Mailing ZIP Code
- 14711-8725
- Mailing Country
- US
- Mailing Phone
- (585) 201-6166
- Practice Street Address
- 88 E Main St
- Practice City
- Hornell
- Practice State
- NY
- Practice ZIP Code
- 14843-2074
- Practice Country
- US
- Practice Phone
- (585) 201-6166
- Enumeration Date
- November 20, 2007
- Last Updated
- November 20, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Skilled Nursing Facility (3140N1450X)
- Other Identifiers
- 02713931 (NY)