Individual provider · Type 1 NPI
Mary Carol Kretsch, NP
Critical Care Medicine Nurse Practitioner · Rochester, NY
NPI number
1679187736
Active
Practice location
1555 Long Pond Rd
Rochester, NY 14626-4122
Fax (585) 723-7224
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice locations
- 127 North St, Batavia, NY 14020-1631 · (585) 344-5201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 025677 (NY) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 431872 (NY) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1679187736
Mary Carol Kretsch, NP's National Provider Identifier is 1679187736, issued on Sep 4, 2020. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Rochester, NY. The record was last updated on Nov 30, 2020.