IndividualActive
Krsna Fullman
NPI 1205407459 · Home Health Aide · Eagle Point, OR
Provider details
- NPI number
- 1205407459
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1594 E Antelope Rd
Eagle Point, OR 97524-9601
Phone: (541) 778-9223
Approximate (ZIP-level) locationGet directions
Mailing address
1594 E Antelope Rd
Eagle Point, OR 97524-9601
Registry dates
- Enumerated
- 2021-07-08
- Last updated
- 2021-07-08
- Certified
- 2021-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.