Deanna Denise Fuller
Community Health Worker in Tacoma, WA. Individual provider (NPI-1).
NPI number1982564019
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1982564019
- Entity type
- Individual (NPI-1)
- Name
- Deanna Denise Fuller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2025
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | CM61551872 | WA | Yes |
Practice location
610 Yakima AveTacoma, WA 98405-4851
Phone 253-396-5246 · Fax 253-779-8665
Mailing address
610 Yakima AveTacoma, WA 98405-4851
Phone 253-396-5246 · Fax 253-779-8665
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