Individual provider · Type 1 NPI

Krista Fuqua, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Gresham, OR

NPI number 1013347582 Active

Practice location

2072 NE Burnside Rd
Gresham, OR 97030-7950

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201606762NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1013347582

Krista Fuqua, PMHNP's National Provider Identifier is 1013347582, issued on Nov 20, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gresham, OR. The record was last updated on Sep 30, 2026.