Kelly Irwin Pagnotti, FNP
Nurse Practitioner, Family in Albany, NY. Individual provider (NPI-1).
NPI number1013359629
StatusActive
Last updated in NPPESJun 1, 2021
Details
- NPI
- 1013359629
- Entity type
- Individual (NPI-1)
- Name
- Kelly Irwin Pagnotti
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2013
- Certification date
- Jun 1, 2021
- Last updated
- Jun 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F338135-1 | NY | Yes |
Practice location
315 S Manning BlvdAlbany, NY 12208
Phone 518-525-1550
Mailing address
Po Box 14890Albany, NY 12212-4890
Phone 518-525-5634
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