National Provider Identifier

Mary Katherine Perrello, P.N.P.

Mary Katherine Perrello, P.N.P. is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse in Penfield, NY and a listed phone number of (585) 377-0840.

NPI 1649295916Penfield, NYPediatric Registered Nurse

Profile Overview

NPI
1649295916
Provider Type
Individual
Primary Specialty
Pediatric Registered Nurse
Enumeration Date
July 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 21 Willow Pond Way
  • Ste 200
  • Penfield, NY 14526-2687

Phone: (585) 377-0840

Specialties

  • Pediatric Registered Nurse (163WP0200X)
Full Record
NPI
1649295916
Entity Type
Individual
Last Name
Perrello
First Name
Mary
Middle Name
Katherine
Credential
P.N.P.
Mailing Street Address
21 Willow Pond Way
Mailing Address Line 2
Ste 200
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2687
Mailing Country
US
Mailing Phone
(585) 377-0840
Mailing Fax
(585) 377-9715
Practice Street Address
21 Willow Pond Way
Practice Address Line 2
Ste 200
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2687
Practice Country
US
Practice Phone
(585) 377-0840
Practice Fax
(585) 377-9715
Enumeration Date
July 13, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Registered Nurse (163WP0200X)
Other Identifiers
019179DL (NY, Preferred Care)