Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonette Fuller

Individual provider Family Nurse Practitioner · NPI 1952124091

Antonette Fuller is a Nurse Practitioner in Glastonbury, Connecticut. Qualified in 2024, 2 years ago. Practices with Starling Physicians, PLLC, a 278-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2024
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Practice location Address checks out

2639 Main St
Glastonbury, CT 06033-2023
Phone: (860) 659-1329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14117 (CT)

Record details

NPI number1952124091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address2639 Main St, Glastonbury, CT 06033-2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Starling Physicians, Pllc — 278 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glastonbury