Bonnie Nall Fuller, APRN is a
Nurse Practitioner - Family based in Yalaha, Florida. Bonnie Nall Fuller is licensed to practice in Florida (license number APRN11012161) and her current practice location is
16 Lakeshore Dr, Yalaha, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 960-6038.
NPI number for Bonnie Nall Fuller is 1215512611 and her current mailing address is 16 Lakeshore Dr, Yalaha, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215512611.
Provider's Profile
Full Name | Bonnie Nall Fuller |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 16 Lakeshore Dr, Yalaha, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215512611
- Provider Enumeration Date: 03/17/2021
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Bonnie Nall Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215512611 | NPI | - | NPPES |
APRN11012161 | Other | FL | FLORIDA DEPARTMENT OF HEALTH BOARD OF NURSING |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN11012161 (Florida) | 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. Bonnie Nall 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 |
Bonnie Nall Fuller, APRN 16 Lakeshore Dr, Yalaha, FL 34797-3032 Ph: (850) 960-6038 | Bonnie Nall Fuller, APRN 16 Lakeshore Dr, Yalaha, FL 34797-3032 Ph: (850) 960-6038 |
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