Individual provider · Type 1 NPI

Kathy Roucek Prairie, FNP

Family Nurse Practitioner · New York, NY

NPI number 1356924674 Active

Practice location

139 Centre St Ph 120
New York, NY 10013-4559

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X332059 (NY)

Family Nurse Practitioner: Definition to come...

35 other providers at this address

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About NPI 1356924674

Kathy Roucek Prairie, FNP's National Provider Identifier is 1356924674, issued on May 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Sep 16, 2025.