# MS. RYANELLE TRESE FUQUA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891021028
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WE0900X | Enterostomal Therapy Registered Nurse | 881719 | NY | Yes |
| 164W00000X | Licensed Practical Nurse | 291556 | NY | — |

## Other

- **Enumeration date:** 10/22/2009
- **Last updated:** 11/07/2024