Individual provider · Type 1 NPI
Lindsay Haut Fulmer
Psychiatric/Mental Health Nurse Practitioner · Bend, OR
NPI number
1235979634
Active
Practice location
1018 SW Emkay Dr
Bend, OR 97702-1010
Mailing address
2577 NE Courtney Dr
Bend, OR 97701-7752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 201702878RN (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10047818 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235979634
Lindsay Haut Fulmer's National Provider Identifier is 1235979634, issued on May 31, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bend, OR. The record was last updated on Jul 23, 2025.