Evelyn Fuller, RDN, CDN is a
Dietitian, Registered based in Seneca Falls, New York. Evelyn Fuller is licensed to practice in New York (license number 010110) and her current practice location is
81 W Bayard St, Seneca Falls, New York. She can be reached at her office (for appointments etc.) via phone at
(904) 239-0077.
NPI number for Evelyn Fuller is 1639780232 and her current mailing address is 34 Green St, Seneca Falls, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639780232.
Healthcare Provider's Profile
| Full Name | Evelyn Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 81 W Bayard St, Seneca Falls, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639780232
- Provider Enumeration Date: 08/17/2020
- Last Update Date: 08/17/2020
Medical Identifiers
Medical identifiers for Evelyn Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639780232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 010110 (New York) | 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. Evelyn 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 |
|---|
Evelyn Fuller, RDN, CDN
34 Green St,
Seneca Falls, NY 13148-2026
Ph: (904) 239-0077 | Evelyn Fuller, RDN, CDN
81 W Bayard St,
Seneca Falls, NY 13148-1807
Ph: (904) 239-0077 |
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