National Provider Identifier
Ryanelle Trese Fuqua, RN
Ryanelle Trese Fuqua, RN is listed in the NPPES registry with a primary specialty of Enterostomal Therapy Registered Nurse in Buffalo, NY and a listed phone number of (716) 308-2645.
Profile Overview
- NPI
- 1891021028
- Provider Type
- Individual
- Primary Specialty
- Enterostomal Therapy Registered Nurse
- Enumeration Date
- October 22, 2009
- Last Updated
- November 07, 2024
Practice Location
- 19 Freeman St
- Buffalo, NY 14215-2704
Phone: (716) 308-2645
Specialties
- Enterostomal Therapy Registered Nurse (163WE0900X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1891021028
- Entity Type
- Individual
- Last Name
- Fuqua
- First Name
- Ryanelle
- Middle Name
- Trese
- Name Prefix
- MS.
- Credential
- RN
- Mailing Street Address
- 19 Freeman St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2704
- Mailing Country
- US
- Mailing Phone
- (716) 308-2645
- Mailing Fax
- (716) 608-1328
- Practice Street Address
- 19 Freeman St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2704
- Practice Country
- US
- Practice Phone
- (716) 308-2645
- Practice Fax
- (716) 608-1328
- Enumeration Date
- October 22, 2009
- Last Updated
- November 07, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 07, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Enterostomal Therapy Registered Nurse (163WE0900X), Licensed Practical Nurse (164W00000X)