LAQUALYN FULLER
NPI 1295331080
Licensed Practical Nurse in Youngstown, OH

Q: What is Laqualyn Fuller's NPI number?

The NPI number for Laqualyn Fuller is 1295331080. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Q: What is Laqualyn 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 Laqualyn Fuller was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 December 08, 2020

4111 HELENA AVE, YOUNGSTOWN, OH 44512(330) 519-0964 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Sep 16, 2024, Dec 8, 2020 (3 updates tracked since 2020).

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About Laqualyn Fuller NPPES

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

LAQUALYN FULLER (NPI 1295331080) is an individual licensed practical nurse in Youngstown, Ohio, licensed in Ohio (LPN.174238) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1295331080

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLAQUALYN FULLER

Location Address4111 HELENA AVEYoungstown, OH 44512-1206

Mailing Address4111 Helena AveYoungstown, OH 44512-1206

Phone(330) 519-0964

Sole ProprietorYes

Enumeration DateDecember 8, 2020

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1295331080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · LPN.174238

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.554497 (OH)

Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 174238 (OH)

Also ListedMealsTaxonomy 174200000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedPrivate VehicleTaxonomy 347C00000X

Also ListedChore ProviderTaxonomy 372500000X

Also ListedHomemakerTaxonomy 376J00000X

4111 HELENA AVE, Youngstown, OH 44512

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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 Laqualyn Fuller's NPI number?

The NPI number for Laqualyn Fuller is 1295331080. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Laqualyn Fuller located?

Laqualyn Fuller practices at 4111 Helena Ave, Youngstown, OH 44512. The listed phone number is (330) 519-0964.

What is Laqualyn 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 Laqualyn Fuller was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.