OrganizationActive
Kyle Fuller Aprn LLC
NPI 1821138470 · Psychiatric/Mental Health Clinical Nurse Specialist · Wauregan, CT
Provider details
- NPI number
- 1821138470
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Kyle Fuller, Owner/Sole Proprietor
- License
- 002043 (CT)
Practice location
19 S Walnut St. Ste C
Wauregan, CT 06387
Phone: (860) 207-8160
Fax: (860) 207-8170
Mailing address
19 S Walnut St. Ste C
Wauregan, CT 06387
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2019-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.