National Provider Identifier
Connie Sue Fuller, RN, BSN
Connie Sue Fuller, RN, BSN is listed in the NPPES registry with a primary specialty of Registered Nurse in Lyons, NY and a listed phone number of (315) 398-2440.
Profile Overview
- NPI
- 1235501529
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- October 26, 2015
- Last Updated
- October 26, 2015
Practice Location
- 2104 Maple Street RD
- Lyons, NY 14489
Phone: (315) 398-2440
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1235501529
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Connie
- Middle Name
- Sue
- Credential
- RN, BSN
- Mailing Street Address
- 2104 Maple Street RD
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489
- Mailing Country
- US
- Mailing Phone
- (315) 398-2440
- Practice Street Address
- 2104 Maple Street RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489
- Practice Country
- US
- Practice Phone
- (315) 398-2440
- Enumeration Date
- October 26, 2015
- Last Updated
- October 26, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)