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

Mimi O Fuller, CNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1326155128

Mimi O Fuller, CNA is a Certified Registered Nurse Anesthetist in Spartanburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2

Practice location Address checks out

735 E Main St
Spartanburg, SC 29302-1281
Phone: (864) 542-1308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence SCAPN987 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AANA22356 (SC)

Record details

NPI number1326155128
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESOctober 25, 2007

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