Individual
KAITLIN MALITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
145 W 23RD ST STE 101, ERIE, PA 16502-2858
(814) 814-4522
(814) 459-2976
Mailing address
145 W 23RD ST STE 101, ERIE, PA 16502-2858
(814) 814-4522
(814) 459-2976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN659816
PA
363L00000X
Nurse Practitioner
Primary
SP025109
PA
363LF0000X
Family Nurse Practitioner
SP025109
PA
Other
Enumeration date
04/17/2022
Last updated
09/26/2022
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