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Nakia Fuller

NPI 1902519036 · on the registry since 2023 · sole proprietor

Practice

Address
2500 Lake Shore Dr E
Ashland, WI 54806
Phone
(715) 682-3660
Organisation at this address
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-04

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 Wisconsin