Individual
DESIREE STARR FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 785-4155
(315) 779-5066
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 785-4155
(315) 779-5066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350713
NYSED OP
NY
Enumeration date
11/07/2022
Last updated
11/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us