National Provider Identifier
Douglas M Fuller, CRNA
Douglas M Fuller, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Wellsville, NY and a listed phone number of (585) 593-1100.
Profile Overview
- NPI
- 1821008780
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- August 09, 2006
- Last Updated
- July 03, 2023
Practice Location
- 191 N Main St
- Wellsville, NY 14895-1150
Phone: (585) 593-1100
Mailing Address
- 3157 Riverside Dr
- Wellsville, NY 14895-9504
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
- Certified Registered Nurse Anesthetist (367500000X)
Endpoints
- dfuller83686@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1821008780
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Douglas
- Middle Name
- M
- Credential
- CRNA
- Mailing Street Address
- 3157 Riverside Dr
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-9504
- Mailing Country
- US
- Practice Street Address
- 191 N Main St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1150
- Practice Country
- US
- Practice Phone
- (585) 593-1100
- Enumeration Date
- August 09, 2006
- Last Updated
- July 03, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X), Certified Registered Nurse Anesthetist (367500000X)