Virginia Fuller, MHS
Individual provider Active NPI Case Manager/Care Coordinator · Gloster, LA
NPI 1033584602 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1033584602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 116 Sinclair LN
Gloster, LA 71030-3028 - Phone
- (318) 780-7205
- NPI assigned
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
116 Sinclair LN
Gloster, LA 71030-3028
Mailing address
116 Sinclair LN
Gloster, LA 71030-3028
Phone (318) 780-7205
Other providers in Gloster, LA
- Ami Michelle Altom
- Marshale Chism
- Dobrielle Gatlin
- Kristy Love Goodwin-Fuller
- Angie Hines
- Elizabeth Phillips
- Remarkable Transport LLC
All providers in Gloster, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.