SHELLY ROBYN FULTZ LPN
NPI 1194966762
Licensed Practical Nurse in Roseburg, OR
- Individual
- Female
- Licensed Practical Nurse
About SHELLY FULTZ
This page provides the complete NPI Profile along with additional information for Shelly Fultz, a provider established in Roseburg, Oregon with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1194966762 assigned on March 2009. The practitioner's primary taxonomy code is 164W00000X with license number 200330356LPN (OR). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1194966762 Verify this NPI
- Provider Name
- SHELLY ROBYN FULTZ LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 913 NW GARDEN VALLEY BLVD ROSEBURG, OR 97471
- Location Phone
- (541) 440-1260
- Mailing Address
- 913 NW GARDEN VALLEY BLVD ROSEBURG, OR 97471
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-11-2009
- Last Update Date
- 03-11-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 200330356LPN
- License State
- OR
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROSEBURG, OR 97471
ROSEBURG, OR 97471
ROSEBURG, OR 97471
ROSEBURG, OR 97471
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194966762, enumerated as an "individual" on March 11, 2009.
The provider is located at 913 NW GARDEN VALLEY BLVD ROSEBURG, OR 97471 and the phone number is (541) 440-1260.
Licensed Practical Nurse with taxonomy code 164W00000X.
