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Contact Information

RYANELLE T FUQUA, RN
19 FREEMAN ST
BUFFALO, NY14215-2704
 Phone: 716-308-2645
 Fax: 716-608-1328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Enterostomal Therapy

163WE0900X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for RYANELLE T FUQUA · (Female)

NPI # 1891021028
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/22/2009
Last updated 11/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 291556
  • NY License # 881719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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