Mimi O Fuller is a Spartanburg, South Carolina based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mimi O Fuller is SCAPN987 for Anesthesia Administration in South Carolina. Her current practice location is 735 E Main Street, Spartanburg. Patients can reach her at 864-542-1308. Mimi O Fuller is CNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1326155128. Mimi O Fuller is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mimi O Fuller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CNA
Gender:
Female
Practice Address:
735 E Main Street, Spartanburg, South Carolina, 29302-1281
Phone:
864-542-1308
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1326155128
NPI Enumeration Date:
25 Aug, 2006
NPI Last Update On:
25 Oct, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mimi O Fuller are as mentioned below.
License Number
Specialization
State
Status
SCAPN987
Anesthesia Administration
South Carolina
Primary
AANA22356
Anesthesia Administration
South Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mimi O Fuller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
AN0665
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
735 E Main Street, Spartanburg, South Carolina
Zip:
29302-1281
Phone Number:
864-542-1308
Fax Number:
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Patients can reach Mimi O Fuller at 735 E Main Street, Spartanburg, South Carolina or can call to book an appointment on 864-542-1308.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.