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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREG L. FULLMER, AGNP-C

Active Sole Proprietor

GREG L. FULLMER, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in SPOKANE, Washington. NPI 1215801865 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · SPOKANE, WA

Registration Details

NPI Number
1215801865
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2025 (0.81288867420913 yrs)
Last Updated
Oct 6, 2025
License
5271681 (ID)
Sole Proprietor
Yes

Practice Information

Address
4815 N ASSEMBLY ST
SPOKANE, WA, 992056185
Browse WA providers · Browse ZIP 99205
Phone
5094347000
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in SPOKANE, WA

Name Credential NPI
SANDEE KNUTTGEN ARNP 1578542072
NEVA L CROGAN--POMILLA GNP 1457557209
SARAH ANN JEFFREY AGNP 1336585827
CORINNA GLATT 1396118238
PATRICIA FAY FITZHUGH ARNP 1699242651
SARAH MARIE EGGERSTORFER ARNP 1629546882
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.