Individual
MRS. JUNE A. FULTON MARGIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 RANCH RD, REEDSPORT, OR 97467-1795
(541) 271-2171
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10709
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3624253
—
TN
Enumeration date
11/17/2005
Last updated
08/31/2020
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