Individual provider · Type 1 NPI

Kassandra Michelle Mack, LPN

Licensed Practical Nurse · Cheektowaga, NY

NPI number 1134483498 Active

Practice location

11 Windwood Cts
Cheektowaga, NY 14225-2573

Call (716) 986-1006 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X303962 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1134483498

Kassandra Michelle Mack, LPN's National Provider Identifier is 1134483498, issued on Jul 1, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cheektowaga, NY. The record was last updated on Jul 1, 2012.