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

MS. Gwendolyn Natasha Fuller

Individual provider Licensed Practical Nurse · NPI 1942752688

MS. Gwendolyn Natasha Fuller is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

300 W McNichols Rd
Detroit, MI 48203-2703
Phone: (313) 867-8015
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703096568 (MI)

Record details

NPI number1942752688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2016
Last updated in NPPESOctober 28, 2016

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