Lookup NPI Numbers from the NPI Registry
NPI Profile for KATHLEEN D ENNIS in SYRACUSE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Neonatal Intensive Care |
163WN0002X |
| NPI # | 1407430341 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 05/06/2021 | |
| Last updated | 06/15/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATHLEEN D ENNIS
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KATHLEEN D ENNIS, NP