Nina Vanbrocklin Fuller, LCPC-C is a
Counselor - Professional based in Hollis Center, Maine. Nina Vanbrocklin Fuller is licensed to practice in Maine (license number XL4326) and her current practice location is
335 Little Falls Rd, Hollis Center, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 650-8963.
NPI number for Nina Vanbrocklin Fuller is 1124423413 and her current mailing address is 335 Little Falls Rd, Hollis Center, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124423413.
Healthcare Provider's Profile
Full Name | Nina Vanbrocklin Fuller |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 335 Little Falls Rd, Hollis Center, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124423413
- Provider Enumeration Date: 10/29/2014
- Last Update Date: 10/29/2014
Medical Identifiers
Medical identifiers for Nina Vanbrocklin Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124423413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | XL4326 (Maine) | 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. Nina Vanbrocklin 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 Address | Practice Location Address |
Nina Vanbrocklin Fuller, LCPC-C 335 Little Falls Rd, Hollis Center, ME 04042-3921 Ph: (207) 650-8963 | Nina Vanbrocklin Fuller, LCPC-C 335 Little Falls Rd, Hollis Center, ME 04042-3921 Ph: (207) 650-8963 |
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