Talia Fulsom, LVN is a
Licensed Vocational Nurse based in Freeport, Texas. Talia Fulsom is licensed to practice in Texas (license number 323412) and her current practice location is
1103 N Avenue H, Freeport, Texas. She can be reached at her office (for appointments etc.) via phone at
(979) 233-3826.
NPI number for Talia Fulsom is 1952937542 and her current mailing address is 2527 S 11th St Ste 2, Niles, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952937542.
Provider's Profile
| Full Name | Talia Fulsom |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
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| Location | 1103 N Avenue H, Freeport, Texas |
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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: 1952937542
- Provider Enumeration Date: 03/16/2020
- Last Update Date: 03/16/2020
Medical Identifiers
Medical identifiers for Talia Fulsom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952937542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 323412 (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. Talia Fulsom 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 |
|---|
Talia Fulsom, LVN
2527 S 11th St Ste 2,
Niles, MI 49120-4747
Ph: () - | Talia Fulsom, LVN
1103 N Avenue H,
Freeport, TX 77541-4006
Ph: (979) 233-3826 |
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