CHARLES FULLER CRNA
NPI 1063518934
Nurse Anesthetist, Certified Registered in Litchfield, MN

Active since September 16, 2006
612 S SIBLEY AVE, LITCHFIELD, MN 55355(320) 693-3242 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Fuller Crna NPPES

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

CHARLES FULLER CRNA (NPI 1063518934) is an individual nurse anesthetist, certified registered in Litchfield, Minnesota, licensed in Minnesota (R064879-2) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063518934
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCHARLES FULLERCredential: CRNA
Location Address612 S SIBLEY AVELitchfield, MN 55355-3340
Mailing Address400 E 10th StWaconia, MN 55387-4552 · (952) 442-9770 · Fax (952) 442-3630
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 29, 2008
NPI 1063518934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MN · R064879-2
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

612 S SIBLEY AVE, Litchfield, MN 55355

Other Identifiers 4

Medicaid445542800MN
Medicare ID-Type Unspecified430004774MN
Other767S7ANMN · Blue Cross Of Mn
Medicare ID-Type UnspecifiedP00171528MN · Railroad Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
612 S SIBLEY AVE
LITCHFIELD, MN 55355
Speech-Language Pathologist
612 S SIBLEY AVE
LITCHFIELD, MN 55355
Physical Therapist
612 S SIBLEY AVE
LITCHFIELD, MN 55355
Nurse Practitioner (Family)
612 S SIBLEY AVE
LITCHFIELD, MN 55355
Clinic/Center (Rural Health)
612 S SIBLEY AVE
LITCHFIELD, MN 55355
Occupational Therapist
612 S SIBLEY AVE
LITCHFIELD, MN 55355
Nurse Anesthetist, Certified Registered
612 S SIBLEY AVE
LITCHFIELD, MN 55355
Occupational Therapist
612 S SIBLEY AVE
LITCHFIELD, MN 55355

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 Charles Fuller's NPI number?

The NPI number for Charles Fuller is 1063518934. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Charles Fuller located?

Charles Fuller practices at 612 S Sibley Ave, Litchfield, MN 55355. The listed phone number is (320) 693-3242.

What is Charles Fuller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Charles Fuller was last updated on April 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.