Individual
MS. DIONNE FULLER PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4520 GENESEE ST, ROUTE 63, GENESEO, NY 14454-1058
(585) 243-3120
(585) 243-1189
Mailing address
4 WESTVIEW CRES, GENESEO, NY 14454-1012
(585) 243-3202
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300276-1
NY
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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