NPI 1013347582
Krista Fuqua
Practice location
- Address
- 1585 NW Washington Blvd, Grants Pass, OR 97526-1049
- Phone
- (541) 474-5511
- Mailing address
- PO Box 99371, Fort Worth, TX 76199-0371
Registered specialties
Psychiatric/Mental Health Nurse Practitioner
Primary
Registry record
- NPI
- 1013347582
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Nov 2013
- Record last updated
- 12 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.