National Provider Identifier

Mykayla Waide

Mykayla Waide is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 967-9747.

NPI 1720958853Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1720958853
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 05, 2025
Last Updated
November 05, 2025

Practice Location

  • 150 State St
  • Rochester, NY 14614-1353

Phone: (585) 967-9747

Mailing Address

  • 689 Hidden Valley RD
  • Rochester, NY 14624-2339

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1720958853
Entity Type
Individual
Last Name
Waide
First Name
Mykayla
Mailing Street Address
689 Hidden Valley RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2339
Mailing Country
US
Practice Street Address
150 State St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14614-1353
Practice Country
US
Practice Phone
(585) 967-9747
Enumeration Date
November 05, 2025
Last Updated
November 05, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 05, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)