Fultz, Shelly Robyn

Fultz, Shelly Robyn is an individual health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97471-6523. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fultz, Shelly Robyn can be contacted via phone (541) 440-1260.

Contact Information

Primary practice address
913 Nw Garden Valley Blvd Roseburg OR 97471-6523
Phone: (541) 440-1260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 200330356LPN Oregon

Profile Details

NPI number 1194966762
LBN Legal business name Fultz, Shelly Robyn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2009
Last updated Mar 11th, 2009 - about 17 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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