National Provider Identifier

Kristen Canzler

Kristen Canzler is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 273-8072.

NPI 1124781877Ithaca, NYNurse Practitioner

Profile Overview

NPI
1124781877
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
October 20, 2021
Last Updated
July 13, 2022

Practice Location

  • 1229 Trumansburg RD
  • Ithaca, NY 14850-1313

Phone: (607) 273-8072

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1124781877
Entity Type
Individual
Last Name
Canzler
First Name
Kristen
Mailing Street Address
1229 Trumansburg RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1313
Mailing Country
US
Practice Street Address
1229 Trumansburg RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1313
Practice Country
US
Practice Phone
(607) 273-8072
Enumeration Date
October 20, 2021
Last Updated
July 13, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
July 13, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)