National Provider Identifier
Amber Marie Fuller
Amber Marie 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) 204-6769.
Profile Overview
- NPI
- 1629738604
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 18, 2021
- Last Updated
- December 18, 2021
Practice Location
- 240 Lisbon Ave # 1
- Buffalo, NY 14215-1028
Phone: (716) 204-6769
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1629738604
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Amber
- Middle Name
- Marie
- Mailing Street Address
- 240 Lisbon Ave # 1
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1028
- Mailing Country
- US
- Mailing Phone
- (716) 204-6769
- Practice Street Address
- 240 Lisbon Ave # 1
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1028
- Practice Country
- US
- Practice Phone
- (716) 204-6769
- Enumeration Date
- December 18, 2021
- Last Updated
- December 18, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 18, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)