NPI 1023679503

Katlyn Ann Conville Anthony, NP

Practitioner Family Nurse Practitioner Port Jefferson, NY

Practice location

Address: 75 N Country Rd, Port Jefferson, NY 11777-2119
Phone: (631) 686-2565

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 344632 (NY)

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Registry record

NPI: 1023679503
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2019
Record last updated: 22 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.