person
Krista Fuqua
Psychiatric/Mental Health Nurse Practitioner in Grants Pass, Oregon
NPI 1013347582

Krista Fuqua is a Psychiatric/Mental Health Nurse Practitioner based in Fort Worth, OR and is specialized in Psychiatric/Mental Health. Krista Fuqua practices in Grants Pass, OR. The NPI Number for Krista Fuqua is 1013347582 and holds a License No. 201606762NP-PP (Oregon).

The current practice location address for Krista Fuqua is 1585 Nw Washington Blvd, Grants Pass, OR and can be reached out via phone at 541-474-5511. You can also correspond with Krista Fuqua through the mailing address at PO BOX 99371, FORT WORTH, TX - 76199-0371 (mailing address contact number: 682-885-1855).

Location: 1585 Nw Washington Blvd, Grants Pass, OR, 76199-0371
person
Provider Profile Details
NPI Number
1013347582
Provider Name
Krista Fuqua
Credential
Provider Entity Type
Individual
Gender
Female
Address
1585 Nw Washington Blvd, Grants Pass, OR, 76199-0371
Phone Number
541-474-5511
Fax Number
Provider Enumeration Date
11/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
718569 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
1585 Nw Washington Blvd
City
State
Zip
97526-1049
Phone Number
541-474-5511
Fax Number
person
Provider Business Mailing Address Details
Address
1585 Nw Washington Blvd
City
State
Zip
97526-1049
Phone Number
541-474-5511
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201606762NP-PP (Oregon)
Definition
Definition to come...
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