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

Individual provider Medical-Surgical Registered Nurse · NPI 1760090765

Edwana Denise Fuller, RN is a Medical-Surgical Registered Nurse in Chicago, Illinois. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5319 S Indiana Ave Apt 1
Chicago, IL 60615-4712
Phone: (773) 299-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 28258565A (IN)

Record details

NPI number1760090765
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 16, 2020
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020

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