KYLE FULLER APRN LLC

WAUREGAN, CT
NPI1821138470
Entity TypeOrganization
Authorized ContactKYLE J FULLER
Owner/Sole Proprietor
860-207-8160
Organization Subpart ?No
Primary Taxonomy364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: CT  002043)
Additional Taxonomies364SF0001X Clinical Nurse Specialist, Family Health
(Licence: CT  002043)
Enumeration Date2007-02-06
Last Update Date2019-10-22
Business Address
KYLE FULLER APRN LLC
19 S WALNUT ST. STE C
WAUREGAN, CT 06387
Phone number: 860-207-8160
Mailing Address
KYLE FULLER APRN LLC
19 S WALNUT ST. STE C P. O. BOX 530
WAUREGAN, CT 06387
Phone number: 860-207-8160