National Provider Identifier

David Maxson Fancher, RN

David Maxson Fancher, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Olean, NY and a listed phone number of (716) 373-8050.

NPI 1053045401Olean, NYRegistered Nurse

Profile Overview

NPI
1053045401
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 12, 2022
Last Updated
July 12, 2022

Practice Location

  • 1 Leo Moss Drive
  • Suite 4010
  • Olean, NY 14760-1100

Phone: (716) 373-8050

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1053045401
Entity Type
Individual
Last Name
Fancher
First Name
David
Middle Name
Maxson
Name Prefix
Mr.
Credential
RN
Mailing Street Address
1 Leo Moss Drive
Mailing Address Line 2
Suite 4010
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1100
Mailing Country
US
Mailing Phone
(716) 373-8050
Mailing Fax
(716) 701-3722
Practice Street Address
1 Leo Moss Drive
Practice Address Line 2
Suite 4010
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1100
Practice Country
US
Practice Phone
(716) 373-8050
Practice Fax
(716) 701-3722
Enumeration Date
July 12, 2022
Last Updated
July 12, 2022
Sex
Male
Sole Proprietor
No
Certification Date
July 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)