National Provider Identifier
Kelli Renee Wilder-Outlaw, NP
Kelli Renee Wilder-Outlaw, NP is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-6026.
Profile Overview
- NPI
- 1952897779
- Provider Type
- Individual
- Primary Specialty
- Acute Care Nurse Practitioner
- Enumeration Date
- July 04, 2018
- Last Updated
- June 30, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-6026
Mailing Address
- 3082 Wheeler Station RD
- Bloomfield, NY 14469-9215
Specialties
- Acute Care Nurse Practitioner (363LA2100X)
- Nurse Practitioner (363L00000X)
Endpoints
- kwilderoutlaw81736@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1952897779
- Entity Type
- Individual
- Last Name
- Wilder-Outlaw
- First Name
- Kelli
- Middle Name
- Renee
- Credential
- NP
- Mailing Street Address
- 3082 Wheeler Station RD
- Mailing City
- Bloomfield
- Mailing State
- NY
- Mailing ZIP Code
- 14469-9215
- Mailing Country
- US
- Mailing Phone
- (585) 746-3335
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-6026
- Enumeration Date
- July 04, 2018
- Last Updated
- June 30, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acute Care Nurse Practitioner (363LA2100X), Nurse Practitioner (363L00000X)