Individual provider · Type 1 NPI

Katlyn Ann Conville Anthony, NP

Family Nurse Practitioner · Stony Brook, NY

NPI number 1023679503 Active

Practice location

100 Nicolls Rd
Stony Brook, NY 11794-0001

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X344632 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1023679503

Katlyn Ann Conville Anthony, NP's National Provider Identifier is 1023679503, issued on Jun 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 23, 2026.