Individual provider · Type 1 NPI
Kira Lee-Lin Gridley, FNP-C
Nurse Practitioner · Fayetteville, NY
Practice location
6870 E Genesee St
Fayetteville, NY 13066-1031
Fax (315) 679-4368
Mailing address
109 Genesee St
Oneida, NY 13421-2703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F351912-01 (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 1194583609
Kira Lee-Lin Gridley, FNP-C's National Provider Identifier is 1194583609, issued on Mar 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, NY. The record was last updated on Apr 7, 2026.