Individual provider · Type 1 NPI

Shelly Robyn Fultz, LPN

Licensed Practical Nurse · Roseburg, OR

NPI number 1194966762 Active

Practice location

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X200330356LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1194966762

Shelly Robyn Fultz, LPN's National Provider Identifier is 1194966762, issued on Mar 11, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roseburg, OR. The record was last updated on Mar 11, 2009.