Candace Fuller, is a
Licensed Vocational Nurse based in Gainesville, Texas. Candace Fuller is licensed to practice in Texas (license number 200104) and her current practice location is
1311 Hillside Dr, Gainesville, Texas. She can be reached at her office (for appointments etc.) via phone at
(940) 284-5815.
NPI number for Candace Fuller is 1336646090 and her current mailing address is 1311 Hillside Dr, Gainesville, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336646090.
Provider's Profile
| Full Name | Candace Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 1311 Hillside Dr, Gainesville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336646090
- Provider Enumeration Date: 04/10/2018
- Last Update Date: 04/10/2018
Medical Identifiers
Medical identifiers for Candace Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336646090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 200104 (Texas) | 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. Candace 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 |
|---|
Candace Fuller,
1311 Hillside Dr,
Gainesville, TX 76240-2923
Ph: () - | Candace Fuller,
1311 Hillside Dr,
Gainesville, TX 76240-2923
Ph: (940) 284-5815 |
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