National Provider Identifier
Kelly A Marotta, FNP
Kelly A Marotta, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 636-9004.
Profile Overview
- NPI
- 1881730489
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- January 30, 2007
- Last Updated
- August 13, 2020
Practice Location
- 1150 Youngs RD Ste 202
- Williamsville, NY 14221-8024
Phone: (716) 636-9004
Mailing Address
- PO Box 488
- Buffalo, NY 14240-0488
Specialties
- Nurse Practitioner (363L00000X)
- Registered Nurse First Assistant (163WR0006X)
Full Record
- NPI
- 1881730489
- Entity Type
- Individual
- Last Name
- Marotta
- First Name
- Kelly
- Middle Name
- A
- Credential
- FNP
- Mailing Street Address
- PO Box 488
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0488
- Mailing Country
- US
- Mailing Phone
- (668) 539-5518
- Mailing Fax
- (203) 916-1041
- Practice Street Address
- 1150 Youngs RD Ste 202
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8024
- Practice Country
- US
- Practice Phone
- (716) 636-9004
- Enumeration Date
- January 30, 2007
- Last Updated
- August 13, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Registered Nurse First Assistant (163WR0006X)
- Other Identifiers
- 02869432 (NY)