Individual provider · Type 1 NPI
Krsna Prema Dasa Fullman
Home Health Aide · Eagle Point, OR
NPI number
1205407459
Active
Practice location
1594 E Antelope Rd
Eagle Point, OR 97524-9601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide Primary | 374U00000X | None listed |
Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
About NPI 1205407459
Krsna Prema Dasa Fullman's National Provider Identifier is 1205407459, issued on Jul 8, 2021. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Eagle Point, OR. The record was last updated on Jul 8, 2021.