NPI
Nathanael Keith Fuller
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- PA
- Type
- Individual
- Enumeration date
- 2012-06-21
- Last updated
- 2014-06-13
Specialties
Licenses
- License IA
- 002297
Location
- Practice location
- 1550 6th Street
- City
- Manning IA
- Postal code
- 51455-1004
- Phone
- (712) 655-2072
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Manning, IA. 65 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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