TRACEY L FULLER
NPI 1770397184
Prosthetic/Orthotic Supplier in Green Bay, WI

Q: What is Tracey Fuller's NPI number?

The NPI number for Tracey Fuller is 1770397184. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Q: What is Tracey Fuller's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Fuller was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 February 05, 2025

1255 S MONROE AVE STE 102, GREEN BAY, WI 54301(920) 246-9710 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tracey L Fuller NPPES

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

TRACEY L FULLER (NPI 1770397184) is an individual prosthetic/orthotic supplier provider in Green Bay, Wisconsin and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1770397184

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameTRACEY L FULLER

Location Address1255 S MONROE AVE STE 102Green Bay, WI 54301-3054

Mailing Address1255 S Monroe Ave Ste 102Green Bay, WI 54301-3054 · (920) 246-9710

Phone(920) 246-9710

Sole ProprietorYes

Enumeration DateFebruary 5, 2025

NPPES CertifiedFebruary 5, 2025

✔ NPI 1770397184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

1255 S MONROE AVE STE 102, Green Bay, WI 54301

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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 Tracey Fuller's NPI number?

The NPI number for Tracey Fuller is 1770397184. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Tracey Fuller located?

Tracey Fuller practices at 1255 S Monroe Ave Ste 102, Green Bay, WI 54301. The listed phone number is (920) 246-9710.

What is Tracey Fuller's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Tracey Fuller was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.