SHELLY FULTZ, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1194966762
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 200330356LPN (OR) |
Frequently Asked Questions
NPI 1194966762 is the National Provider Identifier for SHELLY FULTZ, LPN, a Licensed Practical Nurse provider located in Roseburg, OR. This NPI was enumerated on March 11, 2009.
SHELLY FULTZ, LPN practices at 913 NW GARDEN VALLEY BLVD, Roseburg, OR 97471.
Quick Facts
- NPI
- 1194966762
- Type
- Individual
- Enumerated
- Mar 11, 2009
- Last Updated
- Mar 11, 2009
Nearby Providers
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AMBULATORY SURGERY CENTER OF ROSEBURG, LLC
Clinic/Center - Ambulatory Surgical
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CHENELLE MCCASKILL, PA
Physician Assistant - Surgical
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CINDY WALLS
Case Manager/Care Coordinator