Individual
MRS. STEPHANIE ROSEMAN TULLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
195 N MAIN ST, MOUNT ANGEL, OR 97362-6900
(503) 662-9339
Mailing address
195 N MAIN ST, MOUNT ANGEL, OR 97362-6900
(503) 662-9339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10009557
OR
363LF0000X
Family Nurse Practitioner
203286
AK
363LF0000X
Family Nurse Practitioner
F350501-01
NY
Other
Enumeration date
02/21/2023
Last updated
12/17/2024
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