person
Kathleen Danielle Ennis, NP
Pediatric Nurse Practitioner in Syracuse, New York
NPI 1407430341

Kathleen Danielle Ennis is a Pediatric Nurse Practitioner based in Baldwinsville, NY and is specialized in Pediatrics. Kathleen Danielle Ennis practices in Syracuse, NY and has the professional credentials of NP. The NPI Number for Kathleen Danielle Ennis is 1407430341 and holds a License No. 773322 (New York).

The current practice location address for Kathleen Danielle Ennis is 4900 Broad Rd, Syracuse, NY and can be reached out via phone at 315-492-5011. You can also correspond with Kathleen Danielle Ennis through the mailing address at 38 SENECA ST, BALDWINSVILLE, NY - 13027 (mailing address contact number: ).

Location: 4900 Broad Rd, Syracuse, NY, 13027
person
Provider Profile Details
NPI Number
1407430341
Provider Name
Kathleen Danielle Ennis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4900 Broad Rd, Syracuse, NY, 13027
Phone Number
315-492-5011
Fax Number
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4900 Broad Rd
City
State
Zip
13215-2265
Phone Number
315-492-5011
Fax Number
person
Provider Business Mailing Address Details
Address
4900 Broad Rd
City
State
Zip
13215-2265
Phone Number
315-492-5011
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Neonatal Intensive Care
Taxonomy
License No.
383572 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
773322 (New York)
Definition
Definition to come...
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