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Search › Illinois › 363L00000X

Mary Fuller, DNP

NPI 1497364053 · on the registry since 2020

Practice

Address
110 N Burr Blvd
Kewanee, IL 61443
Phone
(309) 852-0197
Fax
(309) 854-5575
Organisation at this address
County Of Henry
County Of Henry
County Of Henry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
2083P0901X
363LP2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-04

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 Illinois