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Desiree Starr Fuller, FNP
Family Nurse Practitioner in Watertown, New York
NPI 1093423352

Desiree Starr Fuller is a Family Nurse Practitioner based in Watertown, NY and is specialized in Family. Desiree Starr Fuller practices in Watertown, NY and has the professional credentials of FNP. The NPI Number for Desiree Starr Fuller is 1093423352 and holds a License No. 350713 (New York).

The current practice location address for Desiree Starr Fuller is 1575 Washington St, Watertown, NY and can be reached out via phone at 315-785-4155 and via fax at 315-779-5066.

Location: 1575 Washington St, Watertown, NY, 13601-9371
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Provider Profile Details
NPI Number
1093423352
Provider Name
Desiree Starr Fuller
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1575 Washington St, Watertown, NY, 13601-9371
Phone Number
315-785-4155
Fax Number
315-779-5066
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350713 01 NY NYSED OP
institution
Provider Business Practice Location Address Details
Address
1575 Washington St
City
State
Zip
13601-9371
Phone Number
315-785-4155
Fax Number
315-779-5066
person
Provider Business Mailing Address Details
Address
1575 Washington St
City
State
Zip
13601-9371
Phone Number
315-785-4155
Fax Number
315-779-5066
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
350713 (New York)
Definition
Definition to come...
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