Individual provider · Type 1 NPI
Kelly Zodl, NP
Psychiatric/Mental Health Nurse Practitioner · Rochester, NY
NPI number
1336838333
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-5144
Other practice locations
- 3591 Lake Ave, Rochester, NY 14612-5144 · (585) 415-6015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 717528 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404960 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336838333
Kelly Zodl, NP's National Provider Identifier is 1336838333, issued on May 4, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rochester, NY. The record was last updated on Dec 4, 2023.