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TYLER TORELL FULLWOOD
NPI 1881491405
Student in an Organized Health Care Education/Training Program in Gwynn Oak, MD

Active since March 01, 2025
2116 STREAMWAY CT, GWYNN OAK, MD 21207(443) 712-3904 Get Directions Write a Review

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Torell Fullwood NPPES

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

TYLER TORELL FULLWOOD (NPI 1881491405) is an individual student in an organized health care education/training program in Gwynn Oak, Maryland and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1881491405
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER TORELL FULLWOOD
Location Address2116 STREAMWAY CTGwynn Oak, MD 21207-6093
Mailing Address2116 Streamway CtGwynn Oak, MD 21207-6093 · (443) 712-3904
Phone(443) 712-3904
Sole ProprietorNo
Enumeration DateMarch 1, 2025
NPPES CertifiedMarch 1, 2025
✔ NPI 1881491405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2116 STREAMWAY CT, Gwynn Oak, MD 21207
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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 Tyler Fullwood's NPI number?

The NPI number for Tyler Fullwood is 1881491405. It was assigned to this individual provider in the NPPES registry on March 1, 2025.

Where is Tyler Fullwood located?

Tyler Fullwood practices at 2116 Streamway Ct, Gwynn Oak, MD 21207. The listed phone number is (443) 712-3904.

What is Tyler Fullwood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Fullwood was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.