Conville, Katlyn Ann
Conville, Katlyn Ann is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Conville, Katlyn Ann can be contacted via phone (631) 686-2565.Contact Information
Primary practice address
75 N Country Rd
Port Jefferson NY 11777-2119
Phone: (631) 686-2565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 344632 | New York |
Profile Details
| NPI number | 1023679503 |
|---|---|
| LBN Legal business name | Conville, Katlyn Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2019 |
| Last updated | Jun 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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