Individual provider · Type 1 NPI
Michaela Jean Ennis
Pediatric Registered Nurse · Baldwinsville, NY
NPI number
1922649680
Active
Practice location
38 Seneca St
Baldwinsville, NY 13027-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 721390 (NY) |
Pediatric Registered Nurse: Definition to come...
Other pediatric registered nurse providers in Baldwinsville
About NPI 1922649680
Michaela Jean Ennis's National Provider Identifier is 1922649680, issued on Oct 3, 2019. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Baldwinsville, NY. The record was last updated on Oct 3, 2019.