Individual
KAITLYN ELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-1352
Mailing address
43 WOODBURY RD, HIGHLAND MILLS, NY 10930-2406
(845) 570-0607
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309505
NY
Other
Enumeration date
01/13/2020
Last updated
03/11/2022
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