MRS. PAMELA MARY FULLER RN
NPI 1851946958
Registered Nurse - Addiction (Substance Use Disorder) in Grand Rapids, MI

Q: What is Pamela Fuller's NPI number?

The NPI number for Pamela Fuller is 1851946958. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Q: What is Pamela Fuller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Fuller was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 06, 2019

1620 44TH ST SE, GRAND RAPIDS, MI 49508(616) 243-6262(616) 243-6969 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mrs. Pamela Mary Fuller Rn NPPES

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

MRS. PAMELA MARY FULLER RN (NPI 1851946958) is an individual addiction (substance use disorder) provider in Grand Rapids, Michigan, licensed in Michigan (4704188418) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1851946958

Entity TypeIndividualFemale

Primary Taxonomy163WA0400X

Provider Legal NameMRS. PAMELA MARY FULLERCredential: RN

Location Address1620 44TH ST SEGrand Rapids, MI 49508-5002

Mailing Address1620 44th St SeGrand Rapids, MI 49508-5002 · (616) 243-6262 · Fax (616) 243-6969

Phone(616) 243-6262

Fax(616) 243-6969

Sole ProprietorYes

Enumeration DateAugust 6, 2019

✔ NPI 1851946958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers

Taxonomy Code163WA0400X

License✔ Licensed in MI · 4704188418

1620 44TH ST SE, Grand Rapids, MI 49508

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHLOE BLANZY RN

Registered Nurse (Addiction (Substance Use Disorder))

1620 44TH ST SE
GRAND RAPIDS, MI 49508

Kent County (616) 243-6262

DONNA ROHRS PA

Physician Assistant

1620 44TH ST SE
KENTWOOD, MI 49508

Kent County (616) 243-6262

DR. ROBERT JOHN KANTOR M.D.

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

1620 44TH ST SE
GRAND RAPIDS, MI 49508

Kent County (162) 436-2626

MR. JONATHAN KEVIN ENGLUND LLMSW

Social Worker (Clinical)

1620 44TH ST SE
GRAND RAPIDS, MI 49508

Kent County (989) 657-1272

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 Pamela Fuller's NPI number?

The NPI number for Pamela Fuller is 1851946958. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Pamela Fuller located?

Pamela Fuller practices at 1620 44th St SE, Grand Rapids, MI 49508. The listed phone number is (616) 243-6262.

What is Pamela Fuller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Pamela Fuller was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.