Individual provider · Type 1 NPI
Kaitlyn Marie Locke, PNP
Pediatric Nurse Practitioner · Rochester, NY
NPI number
1902570336
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
12 County Fair Dr Apt 108
Rochester, NY 14623-4371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 383273 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383273 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1902570336
Kaitlyn Marie Locke, PNP's National Provider Identifier is 1902570336, issued on Aug 9, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 17, 2023.