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Search › Maryland › Student in an Organized Health Care Education/Training Program

Tyler Fullwood

NPI 1881491405 · on the registry since 2025

Practice

Address
2116 Streamway Ct
Gwynn Oak, MD 21207
Phone
(443) 712-3904

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Athletic Trainer
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-01

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 Maryland