IndividualActive
Maria Cervantes-Fullmer, FNP
NPI 1477020303 · Hematology & Oncology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1477020303
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 46717 (ID)
Practice location
3245 Channing Way
Idaho Falls, ID 83404-7536
Phone: (208) 227-2790
Fax: (208) 227-2735
Mailing address
Po Box 741716
Atlanta, GA 30374-1716
Registry dates
- Enumerated
- 2018-10-29
- Last updated
- 2020-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.