Krista Fuqua
Nurse Practitioner - Psychiatric/Mental Health
1585 Nw Washington Blvd
Grants Pass
, Oregon 97526-1049
Krista Fuqua
Nurse Practitioner - Psychiatric/Mental Health
1585 Nw Washington Blvd
Grants Pass
, Oregon 97526-1049
(682) 885-7347
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Krista Fuqua
- Po Box 99371
- Fort Worth, TX
- Zip : 76199-0371
- Fax : (682) 885-7347
- Phone : (682) 885-1855
Second Address
- Krista Fuqua
- 1585 Nw Washington Blvd
- Grants Pass, OR
- Zip : 97526-1049
- Phone : (541) 474-5511
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FAQs
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What type of doctor is Krista Fuqua
In what state does Krista Fuqua practice in?
Where is Krista Fuqua ’s practice located?
What is Krista Fuqua ’s gender?
Is Krista Fuqua a sole practitioner?
Is Krista Fuqua accepting new patients?
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Does Krista Fuqua have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 201606762NP-PP | OR |
National Provider Identifier
| NPI | 1013347582 |
|---|---|
| Provider Name | Krista Fuqua |
| First Address | Fort Worth, TX 76199-0371 |
| Second Address | Grants Pass, OR 97526-1049 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2013 |
| Last Update Date | 12/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 718569 | LICENSE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.