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

Charles Fuller, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063518934

Charles Fuller, CRNA is a Certified Registered Nurse Anesthetist in Litchfield, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone: (320) 693-3242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R064879-2 (MN)

Record details

NPI number1063518934
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESApril 29, 2008
Mailing address400 E 10th St, Waconia, MN 55387-4552

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