Karen Fullerton, APRN, BC | |
593 Eddy St, Main Bldg., Room 038, Providence, RI 02903-4923 | |
(401) 444-4779 | |
(401) 444-7464 |
Full Name | Karen Fullerton |
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Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
Location | 593 Eddy St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306822176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN22606 (Rhode Island) | Secondary |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | PNS00004 (Rhode Island) | Primary |
Entity Name | Lifespan Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
Mailing Address | Practice Location Address |
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Karen Fullerton, APRN, BC 593 Eddy St, Apc 978, Providence, RI 02903-4923 Ph: (401) 444-4318 | Karen Fullerton, APRN, BC 593 Eddy St, Main Bldg., Room 038, Providence, RI 02903-4923 Ph: (401) 444-4779 |
Ms. Helen Mary Sullivan, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 Fax: 401-525-2549 | |
Jennifer Mckinnon, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Summer St, Providence, RI 02903 Phone: 401-276-4300 Fax: 401-331-3285 | |
Julie Anna Knutson, RN, CNM Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-459-0100 | |
Douglas L Townsend, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Mrs. Jean White, RN CDOE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 Richmond St, Suite 100, Providence, RI 02903 Phone: 401-430-2173 Fax: 401-453-7597 | |
Shannon Whittemore, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Amy Autumn Strenke, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 Fax: 401-533-9105 |