Individual provider · Type 1 NPI

Kathleen Rene, NP

Adult Health Nurse Practitioner · Southold, NY

NPI number 1053947317 Active

Practice location

57190 Main Rd
Southold, NY 11971-4750

Mailing address

22 Pine Cone Ln
Islandia, NY 11749-5512

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X309280 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1053947317

Kathleen Rene, NP's National Provider Identifier is 1053947317, issued on Mar 19, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Southold, NY. The record was last updated on Mar 19, 2020.