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TRISHA MARIE FULLER
NPI 1184404436
Licensed Practical Nurse in Port Jervis, NY

Active since October 04, 2023
17 CAHOONZIE ST, PORT JERVIS, NY 12771(845) 222-8414 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trisha Marie Fuller NPPES

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

TRISHA MARIE FULLER (NPI 1184404436) is an individual licensed practical nurse in Port Jervis, New York, licensed in New York (306625) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1184404436
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTRISHA MARIE FULLER
Location Address17 CAHOONZIE STPort Jervis, NY 12771-1206
Mailing Address17 Cahoonzie StPort Jervis, NY 12771-1206 · (845) 222-8414
Phone(845) 222-8414
Sole ProprietorNo
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
✔ NPI 1184404436 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 NY · 306625
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.
17 CAHOONZIE ST, Port Jervis, NY 12771
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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 Trisha Fuller's NPI number?

The NPI number for Trisha Fuller is 1184404436. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Trisha Fuller located?

Trisha Fuller practices at 17 Cahoonzie St, Port Jervis, NY 12771. The listed phone number is (845) 222-8414.

What is Trisha 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 Trisha Fuller was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.