Individual
KAITLYN ANNE MACULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-4772
(570) 808-6174
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023619
PA
363LA2200X
Adult Health Nurse Practitioner
SP023619
PA
Other
Enumeration date
12/07/2020
Last updated
08/26/2022
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