National Provider Identifier

Amanda Corrisa Kalsih, R.N

Amanda Corrisa Kalsih, R.N is listed in the NPPES registry with a primary specialty of Medical-Surgical Registered Nurse in Fairport, NY and a listed phone number of (585) 286-0073.

NPI 1154724334Fairport, NYMedical-Surgical Registered Nurse

Profile Overview

NPI
1154724334
Provider Type
Individual
Primary Specialty
Medical-Surgical Registered Nurse
Enumeration Date
October 02, 2014
Last Updated
October 02, 2014

Practice Location

  • 95 Evergreen Circle
  • Fairport, NY 14450

Phone: (585) 286-0073

Specialties

  • Medical-Surgical Registered Nurse (163WM0705X)
Full Record
NPI
1154724334
Entity Type
Individual
Last Name
Kalsih
First Name
Amanda
Middle Name
Corrisa
Credential
R.N
Mailing Street Address
95 Evergreen Circle
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Mailing Phone
(585) 286-0073
Practice Street Address
95 Evergreen Circle
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 286-0073
Enumeration Date
October 02, 2014
Last Updated
October 02, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical-Surgical Registered Nurse (163WM0705X)