Ms Barbara Faye Fuller-wallace, LPN - Licensed Practical Nurse in Fort Wayne, IN

Ms Barbara Faye Fuller-wallace, LPN is a Licensed Practical Nurse based in Fort Wayne, Indiana. Ms Barbara Faye Fuller-wallace is licensed to practice in Indiana (license number 27058499A) and her current practice location is 2121 Lake Ave, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 426-5431.

NPI number for Ms Barbara Faye Fuller-wallace is 1134822430 and her current mailing address is 2121 Lake Ave, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134822430.

Contact Information

Ms Barbara Faye Fuller-wallace, LPN
2121 Lake Ave,
Fort Wayne, IN 46805-5100
(260) 426-5431
(260) 421-1092



Provider's Profile

Full NameMs Barbara Faye Fuller-wallace
GenderFemale
SpecialityLicensed Practical Nurse
Location2121 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134822430
  • Provider Enumeration Date: 03/24/2023
  • Last Update Date: 03/24/2023

Medical Identifiers

Medical identifiers for Ms Barbara Faye Fuller-wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134822430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 27058499A (Indiana)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. Ms Barbara Faye Fuller-wallace 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 AddressPractice Location Address
Ms Barbara Faye Fuller-wallace, LPN
2121 Lake Ave,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431
Ms Barbara Faye Fuller-wallace, LPN
2121 Lake Ave,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431

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Licensed Practical Nurse Nurses in Fort Wayne, IN

Angela C Despenza, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2717
Tina M Lehman, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2700
Nancy Anne Perry, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805
Phone: 260-426-5431    
Amy Sue Smith, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825
Phone: 260-484-8551    Fax: 260-471-6674
Mrs. Alicia Falk, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 336 S Cornell Cir, Fort Wayne, IN 46807
Phone: 260-385-7444    
Angie Marie High,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4011 Shannon Dr, Fort Wayne, IN 46835
Phone: 260-403-2382    
Roberta D Ingol, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2717

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