Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kim Marie Petrillo, REGPROFNURSE

Individual provider Registered Nurse · NPI 1467753079

Mrs. Kim Marie Petrillo, REGPROFNURSE is a Registered Nurse in Ithaca, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

55 Brown Rd
Ithaca, NY 14850-1247
Phone: (607) 274-6363
Fax: (607) 274-6684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 513163-1 (NY)

Record details

NPI number1467753079
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGPROFNURSE
Sole proprietorNo
NPI enumeratedNovember 12, 2010
Last updated in NPPESJune 8, 2012

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