NPI 1043024334

Angel Tiffany Fuller

Practitioner Peer Specialist Forney, TX

Practice location

Address: 121 Wenham Way, Forney, TX 75126-3491
Phone: (214) 309-6206

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1043024334
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2025
Record last updated: 5 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.