Individual provider · Type 1 NPI
Kathleen Danielle Ennis, NP
Pediatric Nurse Practitioner · Syracuse, NY
NPI number
1407430341
Active
Practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Mailing address
38 Seneca St
Baldwinsville, NY 13027
Other practice locations
- 97 Patricia Dr, Syracuse, NY 13212-4272 · (315) 383-5050
- 38 Seneca St, Baldwinsville, NY 13027-2809 · (315) 559-1371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 773322 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383572 (NY) |
Pediatric Nurse Practitioner: Definition to come...
212 other providers at this address
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- Community Orthopedics PCOrthopaedic Surgery Physician Syracuse, NY NPI 1427047794
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Other pediatric nurse practitioner providers in Syracuse
- Rachel L. Young, NPNPediatric Nurse Practitioner Syracuse, NY NPI 1013219864
- Katherine Ellen Smith, PNP-CPediatric Nurse Practitioner Syracuse, NY NPI 1023633427
- Tracey Jo Rheaume, PNPPediatric Nurse Practitioner Syracuse, NY NPI 1114180015
- Heather N. Bedard, CPNP-PCPediatric Nurse Practitioner Syracuse, NY NPI 1114542511
- Heather Ann Mullin, PNPPediatric Nurse Practitioner Syracuse, NY NPI 1124461116
- Kimberly Wise, NPPediatric Nurse Practitioner Syracuse, NY NPI 1124663521
- Christine Ann Lopez-Dwyer, NPPediatric Nurse Practitioner Syracuse, NY NPI 1144322595
- Stephany L. Hess, RN PNPPediatric Nurse Practitioner Syracuse, NY NPI 1144599499
About NPI 1407430341
Kathleen Danielle Ennis, NP's National Provider Identifier is 1407430341, issued on May 6, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Syracuse, NY. The record was last updated on Jun 15, 2023.