National Provider Identifier
Samira Fuller
Samira Fuller is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 698-8634.
Profile Overview
- NPI
- 1972889574
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 26, 2011
- Last Updated
- October 26, 2011
Practice Location
- 356 Lagrange Ave
- Rochester, NY 14615-3814
Phone: (585) 698-8634
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1972889574
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Samira
- Mailing Street Address
- 356 Lagrange Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-3814
- Mailing Country
- US
- Mailing Phone
- (585) 698-8634
- Practice Street Address
- 356 Lagrange Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-3814
- Practice Country
- US
- Practice Phone
- (585) 698-8634
- Enumeration Date
- October 26, 2011
- Last Updated
- October 26, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)