Cervantes-Fullmer, Maria Teresa
Cervantes-Fullmer, Maria Teresa is an individual health care provider with primary practice located at 3245 Channing Way , Idaho Falls ID 83404-7536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Cervantes-Fullmer, Maria Teresa can be contacted via phone (208) 227-2790.Contact Information
Primary practice address
3245 Channing Way
Idaho Falls ID 83404-7536
Phone: (208) 227-2790
Fax: (208) 227-2735
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 46717 | Idaho |
Profile Details
NPI number | 1477020303 |
---|---|
LBN Legal business name | Cervantes-Fullmer, Maria Teresa |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2018 |
Last updated | Jan 30th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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