NPI age
7 years
Enumerated 2018-10-29
● Active
Type 1 · Individual
MRS. Maria Teresa Cervantes-Fullmer, FNP
Cervantes-Fullmer is 1 of 4 internal medicine providers in Idaho Falls and 1 of 48 in Idaho.
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 48 active internal medicine providers in Idaho.
NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
31% of peers hold multiple states
Subspecialties
0
52% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-10Enumerated in NPPES
2018
2026
Where they practice
Practice location
3245 Channing Way
Idaho Falls, ID 834047536
Mailing address
Po Box 741716
Atlanta, GA 303741716
Specialties
-
Internal Medicine PrimaryAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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