Mrs Nicole Yvette Fuller-richardson, LPN is a
Licensed Vocational Nurse based in Freeport, New York. Mrs Nicole Yvette Fuller-richardson is licensed to practice in New York (license number 262710-1) and her current practice location is
134 Westside Ave, Freeport, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 322-0727.
NPI number for Mrs Nicole Yvette Fuller-richardson is 1336572429 and her current mailing address is 134 Westside Ave, Freeport, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336572429.
Provider's Profile
| Full Name | Mrs Nicole Yvette Fuller-richardson |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 134 Westside Ave, Freeport, 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: 1336572429
- Provider Enumeration Date: 08/13/2013
- Last Update Date: 08/13/2013
Medical Identifiers
Medical identifiers for Mrs Nicole Yvette Fuller-richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336572429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 262710-1 (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. Mrs Nicole Yvette Fuller-richardson 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 |
|---|
Mrs Nicole Yvette Fuller-richardson, LPN
134 Westside Ave,
Freeport, NY 11520-5442
Ph: (516) 322-0727 | Mrs Nicole Yvette Fuller-richardson, LPN
134 Westside Ave,
Freeport, NY 11520-5442
Ph: (516) 322-0727 |
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