Individual provider · Type 1 NPI

Kaitlyn Anne Maculloch, CRNP

Nurse Practitioner · Wilkes Barre, PA

NPI number 1952907917 Active

Practice location

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027

Call (570) 808-4772 Map

Fax (570) 808-6174

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XSP023619 (PA)
Nurse Practitioner Primary 363L00000XSP023619 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1952907917

Kaitlyn Anne Maculloch, CRNP's National Provider Identifier is 1952907917, issued on Dec 7, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Aug 26, 2022.