KELLI RENEE WILDER-OUTLAW

ROCHESTER, NY
NPI1952897779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  F431324)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NY  431324)
Enumeration Date2018-07-04
Last Update Date2023-06-30
Business Address
KELLI RENEE WILDER-OUTLAW NP
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-275-6026
Mailing Address
KELLI RENEE WILDER-OUTLAW NP
3082 WHEELER STATION RD
BLOOMFIELD, NY 14469-9215
Phone number: 585-746-3335