Shelley Jean Fultz, LPN
NPI #1275623910 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1275623910
- Entity Type
- Individual
- Name
- Shelley Jean Fultz, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 151 S 4TH ST
- Address 2
- SUITE 401
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-4715
- Phone
- (701) 795-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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