Shelley Jean Fultz in Grand Forks - Licensed Practical Nurse
Shelley Jean Fultz - NPI 1275623910
Shelley Jean Fultz is a Licensed Practical Nurse in Grand Forks, North Dakota. Shelley Jean Fultz practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shelley Jean Fultz is 1275623910. The last update date is 2007-07-09.
Shelley Jean Fultz's current location address is 151 S 4th St, Grand Forks, North Dakota. You can contact this provider via phone number 7017953000 and fax number 7017953050. The mailing address for Shelley Jean Fultz is 151 S 4th St, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley Jean Fultz |
|---|---|
| Address | 151 S 4th St, Grand Forks, North Dakota |
| Phone Number | 7017953000 |
| Fax Number | 7017953050 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1275623910 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 151 S 4th St |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582014715 |
| Phone Number | 7017953000 |
| Fax Number | 7017953050 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | L3849 |
|
Definition: 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 r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54519 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shelley Jean Fultz by the Centers for Medicare & Medicaid Services (CMS)?
The Shelley Jean Fultz has been assigned the NPI (National Provider Identifier) 1275623910. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Shelley Jean Fultz is located?
The Shelley Jean Fultz is situated at the following address: 151 S 4Th St, Grand Forks, ND, 582014715.
What is the Shelley Jean Fultz's specialty and taxonomy code?
The Shelley Jean Fultz's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
When did the Shelley Jean Fultz receive its 1275623910?
The Shelley Jean Fultz was issued its 1275623910 on 2006-10-13, which is the date when the organization was assigned this unique identifier.
When was the Shelley Jean Fultz's information last updated?
The Shelley Jean Fultz's information was last updated on 2007-07-09.
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