National Provider Identifier

Kristyn E Sousou, NP

Kristyn E Sousou, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-4711.

NPI 1477561256Rochester, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1477561256
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
August 04, 2006
Last Updated
July 05, 2023

Practice Location

  • 601 Elmwood Ave
  • Box Med
  • Rochester, NY 14642-0001

Phone: (585) 275-4711

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Adult Health Nurse Practitioner (363LA2200X)

Endpoints

  • ksousou119687@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1477561256
Entity Type
Individual
Last Name
Sousou
First Name
Kristyn
Middle Name
E
Credential
NP
Provider Other Last Name
Sousou
Provider Other First Name
Kristyn
Provider Other Middle Name
D
Provider Other Credential Text
NP
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box Med
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-4711
Mailing Fax
(585) 276-2140
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box Med
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-4711
Practice Fax
(585) 276-2140
Enumeration Date
August 04, 2006
Last Updated
July 05, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 30, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
02549966 (NY)