SearchIdaho104100000X

Michael Fuller, M.ED, MSW

NPI 1689551939 · on the registry since 2025 · sole proprietor

Practice

Address
4332 E Thomas Mill Dr
Nampa, ID 83686
Phone
(208) 989-7548

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-19

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 Idaho