Petrona Ennis-Welch, FNP
Nurse Practitioner, Family in Mount Vernon, New York
1427438266- Practice location
- 414 Mcclellan Ave Ph, Mount Vernon, NY 10553-2103
- Phone
- 914-665-8045
- Fax
- —
- Last updated
- October 21, 2020
Petrona Ennis-Welch is a Nurse Practitioner, Family based in Mount Vernon, NY. Petrona Ennis-Welch practices in Mount Vernon, NY and has the professional credentials of FNP. The NPI Number for Petrona Ennis-Welch is 1427438266 and holds a License No. F338601-1 (NY). The current practice location address for Petrona Ennis-Welch is 414 Mcclellan Ave Ph, Mount Vernon, NY 10553-2103 and can be reached out via phone at 914-665-8045.
Provider Profile Details
- NPI Number
- 1427438266
- Provider Name
- Petrona Ennis-Welch
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 414 Mcclellan Ave Ph, Mount Vernon, NY 10553-2103
- Phone Number
- 914-665-8045
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 7, 2015
- Last Update Date
- October 21, 2020
- Certification Date
- October 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 414 Mcclellan Ave Ph
Mount Vernon, NY 10553-2103 - City
- Mount Vernon
- State
- New York
- Zip
- 10553-2103
- Phone Number
- 914-665-8045
Provider Business Mailing Address Details
- Address
- 414 Mcclellan Ave Ph
Mount Vernon, NY 10553-2103 - City
- Mount Vernon
- State
- NY
- Zip
- 10553-2103
- Phone Number
- 914-665-8045
License Information
- License Number (1)
- F338601-1
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- F338601-1
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Petrona Ennis-Welch, FNP?
The NPI number of Petrona Ennis-Welch, FNP is 1427438266. It was assigned on June 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Petrona Ennis-Welch, FNP?
Petrona Ennis-Welch, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F338601-1.
Where does Petrona Ennis-Welch, FNP practice?
The practice location is 414 Mcclellan Ave Ph, Mount Vernon, NY 10553-2103. The office can be reached at 914-665-8045 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427438266 directly on the NPPES registry website.