Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY ROBYN FULTZ, LPN
ActiveLicensed Practical Nurse · ROSEBURG, OR
Registration Details
- NPI Number
- 1194966762
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2009 (17.117332011064 yrs)
- Last Updated
- Mar 11, 2009
- License
-
200330356LPN (OR)
Practice Information
- Address
-
913 NW GARDEN VALLEY BLVDROSEBURG, OR, 974716523Browse OR providers · Browse ZIP 97471
- Phone
- 5414401260
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. MANDY IRENE HOLFORD | LPN | 1407173297 |
| ANGELA RENEE' DUKES | — | 1174904007 |
| JONATHAN SCHMIDT | RN | 1932551256 |
| BRENDA ANDERSON | LPN | 1669924403 |
| KARISA VALANCE | — | 1851832893 |
| STACY GOODWIN | — | 1922599935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.