National Provider Identifier

Kathleen Speta, FNP

Kathleen Speta, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Wellsville, NY and a listed phone number of (585) 596-4129.

NPI 1083970529Wellsville, NYFamily Nurse Practitioner

Profile Overview

NPI
1083970529
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
April 10, 2012
Last Updated
November 21, 2012

Practice Location

  • 15 Loder St
  • 191 North Main Street
  • Wellsville, NY 14895-1112

Phone: (585) 596-4129

Mailing Address

  • 256 Center RD
  • West Seneca, NY 14224-1947

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • General Practice Registered Nurse (163WG0000X)
Full Record
NPI
1083970529
Entity Type
Individual
Last Name
Speta
First Name
Kathleen
Credential
FNP
Mailing Street Address
256 Center RD
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-1947
Mailing Country
US
Mailing Phone
(716) 677-4159
Mailing Fax
(716) 677-4470
Practice Street Address
15 Loder St
Practice Address Line 2
191 North Main Street
Practice City
Wellsville
Practice State
NY
Practice ZIP Code
14895-1112
Practice Country
US
Practice Phone
(585) 596-4129
Practice Fax
(585) 596-0653
Enumeration Date
April 10, 2012
Last Updated
November 21, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), General Practice Registered Nurse (163WG0000X)