Individual provider · Type 1 NPI

Kristen Canzler

Nurse Practitioner · Ithaca, NY

NPI number 1124781877 Active

Practice location

1229 Trumansburg Rd
Ithaca, NY 14850-1313

Other practice locations

  • 2450 Beaver Dams Moreland Rd, Beaver Dams, NY 14812-9428 · (607) 438-6955

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X310153 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124781877

Kristen Canzler's National Provider Identifier is 1124781877, issued on Oct 20, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ithaca, NY. The record was last updated on Jul 13, 2022.