National Provider Identifier

Amanda- Kaitlyn Marie Maracle, LPN

Amanda- Kaitlyn Marie Maracle, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 465-0777.

NPI 1962021519Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1962021519
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 14, 2020
Last Updated
April 23, 2020

Practice Location

  • 87 Jamestown Ter
  • Rochester, NY 14615-1117

Phone: (585) 465-0777

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1962021519
Entity Type
Individual
Last Name
Maracle
First Name
Amanda- Kaitlyn
Middle Name
Marie
Credential
LPN
Mailing Street Address
87 Jamestown Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-1117
Mailing Country
US
Mailing Phone
(585) 465-0777
Practice Street Address
87 Jamestown Ter
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-1117
Practice Country
US
Practice Phone
(585) 465-0777
Enumeration Date
April 14, 2020
Last Updated
April 23, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
April 23, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)