Individual provider · Type 1 NPI
Kathleen Henecke, PNP
Pediatric Nurse Practitioner · Cortland, NY
NPI number
1740286608
Active
Practice location
17 Main St, Ste 302
Cortland, NY 13045-6615
Fax (607) 753-6677
Mailing address
RD#1 Cemetary Road
Fabius, NY 13063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 5323055 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | F380804-1 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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- Jennifer Lee Whelan, LMSWClinical Social Worker Cortland, NY NPI 1184731275
- Joseph Frank Pace, LCSWClinical Social Worker Cortland, NY NPI 1356504823
- Lisa Gale Sholar, LMSW, CSSWSocial Worker Cortland, NY NPI 1467667386
- Lisa Marie Loomis, LCSWClinical Social Worker Cortland, NY NPI 1548372436
- Lucinda Horn, LMHCMental Health Counselor Cortland, NY NPI 1558409508
- Melissa Bramley, LCSW-RClinical Social Worker Cortland, NY NPI 1477662252
- Rebecca Dockstater, NPNurse Practitioner Cortland, NY NPI 1952399099
- William Guyler Niver, CSWAddiction (Substance Use Disorder) Counselor Cortland, NY NPI 1821318254
Other pediatric nurse practitioner providers in Cortland
About NPI 1740286608
Kathleen Henecke, PNP's National Provider Identifier is 1740286608, issued on Jun 24, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cortland, NY. The record was last updated on Jul 13, 2026.