Search › Washington › 363A00000X
Tiana Fuller
NPI 1164387056 · on the registry since 2025
Practice
- Address
- 611 31st Ave Sw
Puyallup, WA 98373 - Phone
- (253) 848-5951
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington