Carmella L Fullenwider, AG-PCNP-BC
Carmella L Fullenwider, AG-PCNP-BC is a Nurse Practitioner in Redmond, Oregon. Qualified in 2024, 2 years ago. Practices with Bay Area Hospital District, a 124-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.
- Years since qualifying
- 2
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
645 NW 4th StRedmond, OR 97756-1502
Phone: (541) 389-7741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 10027848 (OR) |
|---|
Record details
| NPI number | 1598508640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AG-PCNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2024 |
| Last updated in NPPES | June 28, 2024 |
| Certification date | June 28, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Bay Area Hospital District — 124 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |