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

Nicky Fuller

Individual provider Family Nurse Practitioner · NPI 1902468556

Nicky Fuller is a Nurse Practitioner in Deerfield Beach, Florida. Qualified in 2019, 7 years ago. Practices with ENT and Allergy Associates of Florida, LLC, a 227-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1 W Sample Rd Ste 103
Deerfield Beach, FL 33064-3547
Phone: (954) 942-6868
Fax: (954) 942-6854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11003023 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11003023 (FL)

Record details

NPI number1902468556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2019
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ent And Allergy Associates Of Florida, Llc — 227 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Deerfield Beach