National Provider Identifier
Mary Carol Kretsch, NP
Mary Carol Kretsch, NP is listed in the NPPES registry with a primary specialty of Critical Care Medicine Nurse Practitioner in Rochester, NY and a listed phone number of (585) 723-7017.
Profile Overview
- NPI
- 1679187736
- Provider Type
- Individual
- Primary Specialty
- Critical Care Medicine Nurse Practitioner
- Enumeration Date
- September 04, 2020
- Last Updated
- November 30, 2020
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7017
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Critical Care Medicine Nurse Practitioner (363LC0200X)
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1679187736
- Entity Type
- Individual
- Last Name
- Kretsch
- First Name
- Mary
- Middle Name
- Carol
- Credential
- NP
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 723-7017
- Mailing Fax
- (585) 723-7224
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7017
- Practice Fax
- (585) 723-7224
- Enumeration Date
- September 04, 2020
- Last Updated
- November 30, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Critical Care Medicine Nurse Practitioner (363LC0200X), Surgical Physician Assistant (363AS0400X)