Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARMELLA L FULLENWIDER, AG-PCNP-BC
Active Sole ProprietorCARMELLA L FULLENWIDER, AG-PCNP-BC is a Primary Care Nurse Practitioner healthcare provider located in REDMOND, Oregon. NPI 1598508640 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · REDMOND, OR
Registration Details
- NPI Number
- 1598508640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2024 (2.1760129168459 yrs)
- Last Updated
- Jun 28, 2024
- License
-
10027848 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
645 NW 4TH STREDMOND, OR, 977561502Browse OR providers · Browse ZIP 97756
- Phone
- 5413897741
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in REDMOND, OR
| Name | Credential | NPI |
|---|---|---|
| CINDY MCCORMACK | FNP | 1083574123 |
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.