National Provider Identifier

Linda Marie Fuller, ANP, CDE

Linda Marie Fuller, ANP, CDE is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 995-4450.

NPI 1609045343Buffalo, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1609045343
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
February 27, 2008
Last Updated
October 24, 2019

Practice Location

  • 701 Seneca St Ste 646C
  • Buffalo, NY 14210-1351

Phone: (716) 995-4450

Mailing Address

  • 515 Swan Street
  • Dunkirk, NY 14048-9766

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1609045343
Entity Type
Individual
Last Name
Fuller
First Name
Linda
Middle Name
Marie
Credential
ANP, CDE
Mailing Street Address
515 Swan Street
Mailing City
Dunkirk
Mailing State
NY
Mailing ZIP Code
14048-9766
Mailing Country
US
Mailing Phone
(716) 366-7331
Mailing Fax
(716) 363-5228
Practice Street Address
701 Seneca St Ste 646C
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14210-1351
Practice Country
US
Practice Phone
(716) 995-4450
Enumeration Date
February 27, 2008
Last Updated
October 24, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Registered Nurse (163W00000X)
Other Identifiers
369389-1 (NY, Nys Nursing License)