National Provider Identifier
Stephanie Danielle Fuller
Stephanie Danielle Fuller is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 458-6288.
Profile Overview
- NPI
- 1225644727
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 20, 2020
- Last Updated
- September 20, 2020
Practice Location
- 22 Montclair Ave
- Buffalo, NY 14215-2124
Phone: (716) 458-6288
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1225644727
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Stephanie
- Middle Name
- Danielle
- Mailing Street Address
- 22 Montclair Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2124
- Mailing Country
- US
- Mailing Phone
- (716) 458-6288
- Practice Street Address
- 22 Montclair Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2124
- Practice Country
- US
- Practice Phone
- (716) 458-6288
- Enumeration Date
- September 20, 2020
- Last Updated
- September 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)