DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIANA FULLER

MEDICARE: TIANA FULLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1164387056
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA FULLER
Provider Business Mailing Address
First Line : 1519 98TH ST S
Second Line :
City : TACOMA
State : WA
Zip : 98444-4104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 31ST AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3723
Country : US
Telephone Number : 253-848-5951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

Similar Medicare Providers

1437120607 — MRS. JUDITH ANN KRONICK RPH
Practice Location Address:
611 31ST AVE SW
PUYALLUP, WA
98373-3723
Practice Phone: 253-445-7162
Practice Fax: 253-445-7163
1437122579 — DR. MURRAY EUGENE ROUSE DO
Practice Location Address:
611 31ST AVE SW
PUYALLUP, WA
98373-3723
Practice Phone: 253-445-7100
Practice Fax:
1538101795 — DR. NANCY A GRUBB MD
Practice Location Address:
611 31ST AVE SW
PUYALLUP, WA
98373-3723
Practice Phone: 253-848-5951
Practice Fax: 253-845-7073
1588727846 — DR. KEVIN W TAGGART MD
Practice Location Address:
611 31ST AVE SW , STE. C
PUYALLUP, WA
98373-3723
Practice Phone: 253-848-5951
Practice Fax: 253-845-7073
1295892446 — STEPHEN F. DUNCAN M.D.
Practice Location Address:
611 31ST AVE SW
PUYALLUP, WA
98373-3723
Practice Phone: 253-445-7100
Practice Fax:
1699829465 — ANTHONY J KLAASSEN M.D.
Practice Location Address:
611 31ST AVE SW
PUYALLUP, WA
98373-3723
Practice Phone: 253-445-7100
Practice Fax:

Directions to “ TIANA FULLER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.