Individual provider · Type 1 NPI
Ryanelle Trese Fuqua, RN
Enterostomal Therapy Registered Nurse · Buffalo, NY
NPI number
1891021028
Active
Practice location
19 Freeman St
Buffalo, NY 14215-2704
Fax (716) 608-1328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 291556 (NY) |
| Enterostomal Therapy Registered Nurse Primary | 163WE0900X | 881719 (NY) |
Enterostomal Therapy Registered Nurse: Definition to come...
About NPI 1891021028
Ryanelle Trese Fuqua, RN's National Provider Identifier is 1891021028, issued on Oct 22, 2009. The primary taxonomy on file is Enterostomal Therapy Registered Nurse (163WE0900X), and the practice location is in Buffalo, NY. The record was last updated on Nov 7, 2024.