Ennis, Kathleen Danielle

Ennis, Kathleen Danielle is an sole proprietor health care provider with primary practice located at 4900 Broad Rd , Syracuse NY 13215-2265. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Ennis, Kathleen Danielle can be contacted via phone (315) 492-5011.

Contact Information

Primary practice address
4900 Broad Rd Syracuse NY 13215-2265
Phone: (315) 492-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 773322 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 383572 New York

Profile Details

NPI number 1407430341
LBN Legal business name Ennis, Kathleen Danielle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2021
Last updated Jun 15th, 2023 - about 2 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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