Individual provider · Type 1 NPI
Desiree Starr Fuller, FNP
Family Nurse Practitioner · Watertown, NY
NPI number
1093423352
Active
Practice location
1575 Washington St
Watertown, NY 13601-9371
Fax (315) 779-5066
Other practice locations
- 1571 Washington St Ste 107, Watertown, NY 13601-9304 · (315) 782-7330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 350713 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093423352
Desiree Starr Fuller, FNP's National Provider Identifier is 1093423352, issued on Nov 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Watertown, NY. The record was last updated on Nov 7, 2022.