Mrs Haley Fuller, FNP-C | |
2304 Marketplace Dr, Waco, TX 76711-2467 | |
(254) 202-2000 | |
Not Available |
Full Name | Mrs Haley Fuller |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2304 Marketplace Dr, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932580131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP128441 (Texas) | Primary |
Entity Name | Providence Health Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
Entity Name | Hillcrest Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891796694 PECOS PAC ID: 4183612278 Enrollment ID: O20040505001729 |
Entity Name | Century Integrated Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
Mailing Address | Practice Location Address |
---|---|
Mrs Haley Fuller, FNP-C Po Box 848476, Dallas, TX 75284-8476 Ph: () - | Mrs Haley Fuller, FNP-C 2304 Marketplace Dr, Waco, TX 76711-2467 Ph: (254) 202-2000 |
Leslie P Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Gurley Lane, Waco, TX 76706 Phone: 254-313-6000 Fax: 254-313-4531 | |
Eidel Nerli Adams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 254-751-4000 | |
Karen Church, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710 Phone: 254-755-4582 | |
Emily Heeringa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Jared Blake Griffin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2900 | |
Dallas Leigh Upchurch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 345 Owen Ln Ste 144a, Waco, TX 76710 Phone: 254-300-4072 Fax: 254-362-2064 | |
Andrea Denise Nemec, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-5300 |