National Provider Identifier
Katherine Rae Nettles, PA-C
Katherine Rae Nettles, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 473-2200.
Profile Overview
- NPI
- 1215413521
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 19, 2018
- Last Updated
- April 11, 2024
Practice Location
- 1000 South Ave
- Rochester, NY 14620-2782
Phone: (585) 473-2200
Mailing Address
- 1000 South Ave
- Rochester, NY 14620-2733
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1215413521
- Entity Type
- Individual
- Last Name
- Nettles
- First Name
- Katherine
- Middle Name
- Rae
- Credential
- PA-C
- Mailing Street Address
- 1000 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2733
- Mailing Country
- US
- Mailing Phone
- (585) 473-2200
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2782
- Practice Country
- US
- Practice Phone
- (585) 473-2200
- Enumeration Date
- July 19, 2018
- Last Updated
- April 11, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 11, 2024
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)