National Provider Identifier

Lori Ann Banse-Fay, NP

Lori Ann Banse-Fay, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 483-0113.

NPI 1982085700Jamestown, NYFamily Nurse Practitioner

Profile Overview

NPI
1982085700
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 17, 2015
Last Updated
October 21, 2016

Practice Location

  • 15 S Main St
  • Suite 151
  • Jamestown, NY 14701-6626

Phone: (716) 483-0113

Mailing Address

  • 15 S Main St
  • Suite 300
  • Jamestown, NY 14701-6626

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1982085700
Entity Type
Individual
Last Name
Banse-Fay
First Name
Lori
Middle Name
Ann
Credential
NP
Mailing Street Address
15 S Main St
Mailing Address Line 2
Suite 300
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6626
Mailing Country
US
Mailing Phone
(716) 488-1877
Mailing Fax
(716) 488-1986
Practice Street Address
15 S Main St
Practice Address Line 2
Suite 151
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6626
Practice Country
US
Practice Phone
(716) 483-0113
Enumeration Date
June 17, 2015
Last Updated
October 21, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)