Individual provider · Type 1 NPI

Maria Teresa Cervantes-Fullmer, FNP

Hematology & Oncology Physician · Idaho Falls, ID

NPI number 1477020303 Active

Practice location

3245 Channing Way
Idaho Falls, ID 83404-7536

Fax (208) 227-2735

Mailing address

PO Box 741716
Atlanta, GA 30374-1716

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X46717 (ID)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1477020303

Maria Teresa Cervantes-Fullmer, FNP's National Provider Identifier is 1477020303, issued on Oct 29, 2018. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 30, 2020.