Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN DANIELLE ENNIS, NP
Active Sole ProprietorKATHLEEN DANIELLE ENNIS, NP is a Pediatric Nurse Practitioner healthcare provider located in SYRACUSE, New York. NPI 1407430341 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · SYRACUSE, NY
Registration Details
- NPI Number
- 1407430341
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2021 (5.3187621111917 yrs)
- Last Updated
- Jun 15, 2023
- Licenses
-
773322 (NY)383572 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4900 BROAD RDSYRACUSE, NY, 132152265Browse NY providers · Browse ZIP 13215
- Phone
- 3154925011
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| THERESA A. ZIMMER | PNP | 1760444392 |
| DONNA F LAFRATE | NP | 1740229533 |
| MS. JOANNE B LAVIGNE | NP | 1952415747 |
| CAROL EDWARDS DAWSON | NP | 1225140601 |
| MRS. CHRISTINE ANN LOPEZ-DWYER | NP | 1144322595 |
| NANCY P MITCHELL | N.P. | 1538264312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.