CARMELLA L FULLENWIDER

REDMOND, OR
NPI1598508640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: OR  10027848)
Enumeration Date2024-06-17
Last Update Date2024-06-28
Business Address
CARMELLA L FULLENWIDER AG-PCNP-BC
645 NW 4TH ST
REDMOND, OR 97756-1502
Phone number: 541-389-7741
Mailing Address
CARMELLA L FULLENWIDER AG-PCNP-BC
PO BOX 1517
PENDLETON, OR 97801-0410
Phone number: 541-278-4332
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