Mrs Nicole Yvette Fuller-richardson, LPN in Freeport, NY - Licensed Vocational Nurse

Mrs Nicole Yvette Fuller-richardson, LPN is a Licensed Vocational Nurse based in Freeport, New York. Mrs Nicole Yvette Fuller-richardson is licensed to practice in New York (license number 262710-1) and her current practice location is 134 Westside Ave, Freeport, New York. She can be reached at her office (for appointments etc.) via phone at (516) 322-0727.

NPI number for Mrs Nicole Yvette Fuller-richardson is 1336572429 and her current mailing address is 134 Westside Ave, Freeport, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336572429.

Contact Information

	Mrs Nicole Yvette Fuller-richardson, LPN
	134 Westside Ave, Freeport, NY 11520-5442
	(516) 322-0727
	(516) 377-1637

Provider's Profile

Full Name	Mrs Nicole Yvette Fuller-richardson
Gender	Female
Speciality	Licensed Vocational Nurse
Location	134 Westside Ave, Freeport, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1336572429
Provider Enumeration Date: 08/13/2013
Last Update Date: 08/13/2013

Medical Identifiers

Medical identifiers for Mrs Nicole Yvette Fuller-richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336572429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	262710-1 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Yvette Fuller-richardson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Nicole Yvette Fuller-richardson, LPN 134 Westside Ave, Freeport, NY 11520-5442 Ph: (516) 322-0727	Mrs Nicole Yvette Fuller-richardson, LPN 134 Westside Ave, Freeport, NY 11520-5442 Ph: (516) 322-0727

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Mrs Nicole Yvette Fuller-richardson, LPN - Licensed Vocational Nurse in Freeport, NY