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MARY FULLER LPN
NPI 1285034058
Registered Nurse in New Haven, CT

Active since August 29, 2014
495 CONGRESS AVE, NEW HAVEN, CT 06519(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Fuller Lpn NPPES

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

MARY FULLER LPN (NPI 1285034058) is an individual registered nurse in New Haven, Connecticut, licensed in Connecticut (132485) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1285034058
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMARY FULLERCredential: LPN
Location Address495 CONGRESS AVENew Haven, CT 06519-1312
Mailing Address1 Long Wharf DrNew Haven, CT 06511-5991 · (203) 781-4600 · Fax (203) 781-4624
Phone(203) 781-4600
Fax(203) 781-4624
Sole ProprietorNo
Enumeration DateAugust 29, 2014
Last NPPES UpdateMarch 28, 2017
✔ NPI 1285034058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CT · 132485
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 36259 (CT)
495 CONGRESS AVE, New Haven, CT 06519
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Other Identifiers 3

Medicaid004082260CT
Medicaid008022622CT
Medicaid008001325CT

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.

MR. MUKHTAR M NALADO LADC
Counselor (Addiction (Substance Use Disorder))
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
DARIUSZ PAJDAK LADC
Counselor (Addiction (Substance Use Disorder))
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
DIANA ANDERSON LPC
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (032) 285-2678
DIANNA GABRIELLE CELANO LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 752-8091
APT FOUNDATION, INC
Clinic/Center (Methadone)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4740
JESSICA ERIN ZOLTANI M.D.
Psychiatry & Neurology (Psychiatry)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
MS. DENISE L SHANNON LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
MS. LORETTA GIBSON LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600

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 Mary Fuller's NPI number?

The NPI number for Mary Fuller is 1285034058. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Where is Mary Fuller located?

Mary Fuller practices at 495 Congress Ave, New Haven, CT 06519. The listed phone number is (203) 781-4600.

What is Mary Fuller's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Mary Fuller was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.