Carmella L Fullenwider, AG-PCNP-BC

NPI #1598508640 in Redmond, Oregon

Provider Information

NPI Number
1598508640
Entity Type
Individual
Name
Carmella L Fullenwider, AG-PCNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Primary Care
Credential
AG-PCNP-BC
Enumeration Date
Jun 17, 2024
Last Updated
Jun 28, 2024

Practice Location

Address
645 NW 4TH ST
State
Oregon
ZIP Code
97756-1502
Phone
(541) 389-7741

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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