National Provider Identifier

Susan McKernan McKelvey, FNP

Susan McKernan McKelvey, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 273-6757.

NPI 1669760682Ithaca, NYFamily Nurse Practitioner

Profile Overview

NPI
1669760682
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 11, 2011
Last Updated
September 28, 2020

Practice Location

  • 905 Hanshaw RD
  • Ithaca, NY 14850-1549

Phone: (607) 273-6757

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1669760682
Entity Type
Individual
Last Name
McKelvey
First Name
Susan
Middle Name
McKernan
Credential
FNP
Mailing Street Address
905 Hanshaw RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1549
Mailing Country
US
Mailing Phone
(607) 342-2706
Practice Street Address
905 Hanshaw RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1549
Practice Country
US
Practice Phone
(607) 273-6757
Enumeration Date
July 11, 2011
Last Updated
September 28, 2020
Sex
Female
Sole Proprietor
No
Certification Date
September 28, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)