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SHELLY ROBYN FULTZ LPN
NPI 1194966762
Licensed Practical Nurse in Roseburg, OR

Active since March 11, 2009
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471(541) 440-1260 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shelly Robyn Fultz Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY ROBYN FULTZ LPN (NPI 1194966762) is an individual licensed practical nurse in Roseburg, Oregon, licensed in Oregon (200330356LPN) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1194966762
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHELLY ROBYN FULTZCredential: LPN
Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97471-6523
Mailing Address913 Nw Garden Valley BlvdRoseburg, OR 97471-6523
Phone(541) 440-1260
Sole ProprietorNo
Enumeration DateMarch 11, 2009
✔ NPI 1194966762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 200330356LPN
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
913 NW GARDEN VALLEY BLVD, Roseburg, OR 97471
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSEBURG VAMC
Department of Veterans Affairs (VA) Pharmacy
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
JERIMIAH MACDONALD PT
Physical Therapist
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
MR. GALEN V HARTZELL MSW
Social Worker
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
MITCHELL JOHN CHMELIK LCSW
Social Worker (Clinical)
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
CAROL LYNN COLLINS FNP-C
Nurse Practitioner
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
MARK PEDGINSKI
Pharmacist
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
MELISSA HESELIUS RN
Registered Nurse
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
LISSA MURPHY MSW
Social Worker
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Fultz's NPI number?

The NPI number for Shelly Fultz is 1194966762. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is Shelly Fultz located?

Shelly Fultz practices at 913 NW Garden Valley Blvd, Roseburg, OR 97471. The listed phone number is (541) 440-1260.

What is Shelly Fultz's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shelly Fultz was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.