Individual
CIARA ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9213
Mailing address
1751 2ND AVE APT 15B, NEW YORK, NY 10128-5378
(845) 494-8300
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432384-01
NY
Other
Enumeration date
10/10/2022
Last updated
04/30/2025
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