Cervantes-Fullmer, Maria Teresa

Cervantes-Fullmer, Maria Teresa is an individual health care provider with primary practice located at 3245 Channing Way , Idaho Falls ID 83404-7536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Cervantes-Fullmer, Maria Teresa can be contacted via phone (208) 227-2790.

Contact Information

Primary practice address
3245 Channing Way Idaho Falls ID 83404-7536
Phone: (208) 227-2790
Fax: (208) 227-2735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 46717 Idaho

Profile Details

NPI number 1477020303
LBN Legal business name Cervantes-Fullmer, Maria Teresa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2018
Last updated Jan 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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