Individual provider · Type 1 NPI

Shelley Jean Fultz, LPN

Licensed Practical Nurse · Grand Forks, ND

NPI number 1275623910 Active

Practice location

151 S 4th St, Suite 401
Grand Forks, ND 58201-4715

Fax (701) 795-3050

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL3849 (ND)

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 1275623910

Shelley Jean Fultz, LPN's National Provider Identifier is 1275623910, issued on Oct 13, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Forks, ND. The record was last updated on Jul 9, 2007.