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MR. KRSNA PREMA DASA FULLMAN
NPI 1205407459
Home Health Aide in Eagle Point, OR

Active since July 08, 2021
1594 E ANTELOPE RD, EAGLE POINT, OR 97524(541) 778-9223 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Krsna Prema Dasa Fullman NPPES

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

MR. KRSNA PREMA DASA FULLMAN (NPI 1205407459) is an individual home health aide in Eagle Point, Oregon and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1205407459
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameMR. KRSNA PREMA DASA FULLMAN
Location Address1594 E ANTELOPE RDEagle Point, OR 97524-9601
Mailing Address1594 E Antelope RdEagle Point, OR 97524-9601 · (541) 778-9223
Phone(541) 778-9223
Sole ProprietorYes
Enumeration DateJuly 8, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1205407459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
1594 E ANTELOPE RD, Eagle Point, OR 97524
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Krsna Fullman's NPI number?

The NPI number for Krsna Fullman is 1205407459. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Krsna Fullman located?

Krsna Fullman practices at 1594 E Antelope Rd, Eagle Point, OR 97524. The listed phone number is (541) 778-9223.

What is Krsna Fullman's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Krsna Fullman was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.