Individual provider · Type 1 NPI

Mykayla Waide

Licensed Practical Nurse · Rochester, NY

NPI number 1720958853 Active

Practice location

150 State St
Rochester, NY 14614-1353

Mailing address

689 Hidden Valley Rd
Rochester, NY 14624-2339

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X349662 (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 1720958853

Mykayla Waide's National Provider Identifier is 1720958853, issued on Nov 5, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Nov 5, 2025.