Individual provider · Type 1 NPI
Greg L. Fullmer, AGNP-C
Gerontology Nurse Practitioner · Spokane, WA
NPI number
1215801865
Active
Practice location
4815 N Assembly St
Spokane, WA 99205-6185
Mailing address
803 E Elm Ave
Coeur D Alene, ID 83814-4438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 5271681 (ID) |
Gerontology Nurse Practitioner: Definition to come...
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- Corinna GlattGerontology Nurse Practitioner Spokane, WA NPI 1396118238
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- Maggie Mary Bulger, AGPCNPGerontology Nurse Practitioner Spokane, WA NPI 1518504711
- Sandee Knuttgen, ARNPGerontology Nurse Practitioner Spokane, WA NPI 1578542072
About NPI 1215801865
Greg L. Fullmer, AGNP-C's National Provider Identifier is 1215801865, issued on Oct 6, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Spokane, WA. The record was last updated on Oct 6, 2025.