MICHAEL FULLER LPN
NPI 1013577667
Licensed Practical Nurse in Mayfield, KY

Q: What is Michael Fuller's NPI number?

The NPI number for Michael Fuller is 1013577667. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Michael Fuller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fuller was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2019

1539 CUBA RD, MAYFIELD, KY 42066(270) 251-2924 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Fuller Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL FULLER LPN (NPI 1013577667) is an individual licensed practical nurse in Mayfield, Kentucky, licensed in Tennessee (LPN0000092565) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1013577667

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMICHAEL FULLERCredential: LPN

Location Address1539 CUBA RDMayfield, KY 42066-6809

Mailing Address425 Broadway St Ste 201Paducah, KY 42001-0713 · (270) 442-7121

Phone(270) 251-2924

Sole ProprietorNo

Enumeration DateJune 17, 2019

✔ NPI 1013577667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in TN · LPN0000092565

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1539 CUBA RD, Mayfield, KY 42066

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fuller's NPI number?

The NPI number for Michael Fuller is 1013577667. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Michael Fuller located?

Michael Fuller practices at 1539 Cuba Rd, Mayfield, KY 42066. The listed phone number is (270) 251-2924.

What is Michael Fuller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michael Fuller was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.