LAQUALYN FULLER – Licensed Practical Nurse, NPI 1295331080

Licensed Practical Nurse

LAQUALYN FULLER is a healthcare provider. based in Youngstown, Ohio. specializing in Licensed Practical Nurse. They hold a License No. 174238 (OH). The NPI Number for LAQUALYN FULLER is 1295331080

Main info

Female

Sole Proprietor

Name

LAQUALYN FULLER

NPI

1295331080

Phone

(330) 519-0964

Address

4111 HELENA AVE

Enumeration Date

8 December 2020

Last Update Date

2 June 2026

Data current as of

10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness85

Years active:5State licenses:3Digital endpointsOther names

Provider Addresses for LAQUALYN FULLER

4111 HELENA AVE
YOUNGSTOWN, OH 445121206
Phone: (330) 519-0964
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44512)

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Reviews

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Frequently asked questions

How is LAQUALYN FULLER identified in CMS data?

CMS-hosted NPPES data lists LAQUALYN FULLER with NPI 1295331080.

Does the file indicate LAQUALYN FULLER is practicing under active NPI?

Directory data currently reports LAQUALYN FULLER as active.

What is LAQUALYN FULLER's primary classification?

Licensed Practical Nurse is the headline specialty for LAQUALYN FULLER here. Clinical services aligned with this taxonomy classification.

What address line appears for LAQUALYN FULLER?

LAQUALYN FULLER's geographic hint is Youngstown, Ohio in our summary view.

Is the information about LAQUALYN FULLER up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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