Individual provider · Type 1 NPI
Amanda Corrisa Kalsih, R.N
Medical-Surgical Registered Nurse · Fairport, NY
NPI number
1154724334
Active
Practice location
95 Evergreen Circle
Fairport, NY 14450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 691847 (NY) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1154724334
Amanda Corrisa Kalsih, R.N's National Provider Identifier is 1154724334, issued on Oct 2, 2014. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Fairport, NY. The record was last updated on Oct 2, 2014.