SHELLEY JEAN FULTZ LPN NPI 1275623910

NPI Information

Shelley Jean Fultz, LPN is a licensed practical nurse in Grand Forks, ND. The provider is a licensed practical nurse 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. Shelley Jean Fultz, LPN NPI is 1275623910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 S 4TH ST
SUITE 401
GRAND FORKS, ND
ZIP 58201-715
Phone: (701) 795-3000
Fax: (701) 795-3050

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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