Shelly Robyn Fultz, LPN - Licensed Practical Nurse in Roseburg, OR

Shelly Robyn Fultz, LPN is a Licensed Practical Nurse based in Roseburg, Oregon. Shelly Robyn Fultz is licensed to practice in Oregon (license number 200330356LPN) and her current practice location is 913 Nw Garden Valley Blvd, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 440-1260.

NPI number for Shelly Robyn Fultz is 1194966762 and her current mailing address is 913 Nw Garden Valley Blvd, Roseburg, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194966762.

Contact Information

Shelly Robyn Fultz, LPN
913 Nw Garden Valley Blvd,
Roseburg, OR 97471-6523
(541) 440-1260
Not Available



Provider's Profile

Full NameShelly Robyn Fultz
GenderFemale
SpecialityLicensed Practical Nurse
Location913 Nw Garden Valley Blvd, Roseburg, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194966762
  • Provider Enumeration Date: 03/11/2009
  • Last Update Date: 03/11/2009

Medical Identifiers

Medical identifiers for Shelly Robyn Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194966762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 200330356LPN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly Robyn Fultz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelly Robyn Fultz, LPN
913 Nw Garden Valley Blvd,
Roseburg, OR 97471-6523

Ph: () -
Shelly Robyn Fultz, LPN
913 Nw Garden Valley Blvd,
Roseburg, OR 97471-6523

Ph: (541) 440-1260

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Licensed Practical Nurse Nurses in Roseburg, OR

Lisa Brand,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 548 Se Jackson St, Roseburg, OR 97470
Phone: 541-672-2691    
Anne Marie Hix,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471
Phone: 541-440-1000    Fax: 541-440-1343
Heather Mcclinton,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Madrone St, Roseburg, OR 97470
Phone: 541-672-2691    
Michael E Gregg,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470
Phone: 541-673-3469    
Michelle S Beaumont,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471
Phone: 541-440-1000    
Angela Renee' Dukes,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1832 Ne Oswego Ave, Roseburg, OR 97470
Phone: 541-733-4862    

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