Individual provider · Type 1 NPI

Lori Ann Banse-Fay, NP

Family Nurse Practitioner · Jamestown, NY

NPI number 1982085700 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN653788 (PA)
Family Nurse Practitioner Primary 363LF0000XF340506 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1982085700

Lori Ann Banse-Fay, NP's National Provider Identifier is 1982085700, issued on Jun 17, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jamestown, NY. The record was last updated on Oct 21, 2016.