Individual provider · Type 1 NPI
Kelli Renee Wilder-Outlaw, NP
Acute Care Nurse Practitioner · Rochester, NY
NPI number
1952897779
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
3082 Wheeler Station Rd
Bloomfield, NY 14469-9215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F431324 (NY) |
| Nurse Practitioner | 363L00000X | 431324 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1952897779
Kelli Renee Wilder-Outlaw, NP's National Provider Identifier is 1952897779, issued on Jul 4, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Rochester, NY. The record was last updated on Jun 30, 2023.