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TANARA SHARAY FULLER LPN
NPI 1164720181
Licensed Practical Nurse in Dayton, OH

Active since March 01, 2011
4555 LONGFELLOW AVE, DAYTON, OH 45424(937) 823-4102 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanara Sharay Fuller Lpn NPPES

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

TANARA SHARAY FULLER LPN (NPI 1164720181) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (PN-143449-M-IV) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1164720181
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTANARA SHARAY FULLERCredential: LPN
Location Address4555 LONGFELLOW AVEDayton, OH 45424-5952
Mailing Address4555 Longfellow AveDayton, OH 45424-5952 · (937) 823-4102
Phone(937) 823-4102
Sole ProprietorYes
Enumeration DateMarch 1, 2011
Last NPPES UpdateJune 22, 2016
✔ NPI 1164720181 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 OH · PN-143449-M-IV
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.
4555 LONGFELLOW AVE, Dayton, OH 45424
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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 Tanara Fuller's NPI number?

The NPI number for Tanara Fuller is 1164720181. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Where is Tanara Fuller located?

Tanara Fuller practices at 4555 Longfellow Ave, Dayton, OH 45424. The listed phone number is (937) 823-4102.

What is Tanara 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 Tanara Fuller was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.