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Michaela Jean Ennis
Pediatric Registered Nurse in Baldwinsville, New York
NPI 1922649680

Michaela Jean Ennis is a Pediatric Registered Nurse based in Baldwinsville, NY and is specialized in Pediatrics. Michaela Jean Ennis practices in Baldwinsville, NY. The NPI Number for Michaela Jean Ennis is 1922649680 and holds a License No. 721390 (New York).

The current practice location address for Michaela Jean Ennis is 38 Seneca St, Baldwinsville, NY and can be reached out via phone at 315-558-0976.

Location: 38 Seneca St, Baldwinsville, NY, 13027-2809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922649680
Provider Name
Michaela Jean Ennis
Credential
Provider Entity Type
Individual
Gender
Female
Address
38 Seneca St, Baldwinsville, NY, 13027-2809
Phone Number
315-558-0976
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
38 Seneca St
City
Baldwinsville
State
New York
Zip
13027-2809
Phone Number
315-558-0976
Fax Number
person
Provider Business Mailing Address Details
Address
38 Seneca St
City
Baldwinsville
State
New York
Zip
13027-2809
Phone Number
315-558-0976
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
721390 (New York)
Definition
Definition to come...
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