Individual
KAYLA NANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6221 STATE ROUTE 31 STE 104, CICERO, NY 13039-8726
(315) 698-4888
Mailing address
9118 E MUD LAKE RD, BALDWINSVILLE, NY 13027-9612
(315) 698-4888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
357870
NY
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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