AMANDA- KAITLYN MARIE MARACLE LPN
NPI 1962021519
Licensed Practical Nurse in Rochester, NY

Active since April 14, 2020
87 JAMESTOWN TER, ROCHESTER, NY 14615(585) 465-0777 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2020, Apr 14, 2020 (2 updates tracked since 2020).

  • Individual
  • Female
  • Licensed Practical Nurse

About AMANDA- KAITLYN MARACLE

This page provides the complete NPI Profile along with additional information for Amanda- Kaitlyn Maracle, a provider established in Rochester, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1962021519 assigned on April 2020. The practitioner's primary taxonomy code is 164W00000X with license number 338147-01 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1962021519 Verify this NPI
Provider Name
AMANDA- KAITLYN MARIE MARACLE LPN
Gender
Female
Entity Type
Individual
Location Address
87 JAMESTOWN TER ROCHESTER, NY 14615
Location Phone
(585) 465-0777
Mailing Address
87 JAMESTOWN TER ROCHESTER, NY 14615
Mailing Phone
(585) 465-0777
Is Sole Proprietor?
Yes
Enumeration Date
04-14-2020
Last Update Date
04-23-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
338147-01
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962021519, enumerated as an "individual" on April 14, 2020.

The provider is located at 87 JAMESTOWN TER ROCHESTER, NY 14615 and the phone number is (585) 465-0777.

Licensed Practical Nurse with taxonomy code 164W00000X.