KAITLYN ANNE MACULLOCH

WILKES BARRE, PA
NPI1952907917
Former NameKAITLYN ANNE SWARTZLANDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP023619)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP023619)
Enumeration Date2020-12-07
Last Update Date2022-08-26
Business Address
KAITLYN ANNE MACULLOCH CRNP
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0027
Phone number: 570-808-4772
Mailing Address
KAITLYN ANNE MACULLOCH CRNP
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144