National Provider Identifier

Kaitlin Villa, FNP

Kaitlin Villa, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4882.

NPI 1073248670Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1073248670
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 19, 2022
Last Updated
July 19, 2022

Practice Location

  • 1455 E Ridge RD
  • Rochester, NY 14621-2006

Phone: (585) 922-4882

Mailing Address

  • 700 Starboard Side Ln Apt 102
  • Webster, NY 14580-2287

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1073248670
Entity Type
Individual
Last Name
Villa
First Name
Kaitlin
Credential
FNP
Mailing Street Address
700 Starboard Side Ln Apt 102
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2287
Mailing Country
US
Practice Street Address
1455 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2006
Practice Country
US
Practice Phone
(585) 922-4882
Enumeration Date
July 19, 2022
Last Updated
July 19, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
July 19, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)