KASSANDRA MICHELLE MACK LPN NPI 1134483498

NPI Information

NPI: 1134483498
Provider Name: KASSANDRA MICHELLE MACK, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
11 WINDWOOD CTS
CHEEKTOWAGA, NY
ZIP 14225
Phone: (716) 986-1006
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Kassandra Michelle Mack, LPN is a licensed practical nurse in Cheektowaga, NY. The provider is 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. Kassandra Michelle Mack, LPN NPI is 1134483498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11 WINDWOOD CTS
CHEEKTOWAGA, NY
ZIP 14225-573
Phone: (716) 986-1006

The enumeration date for this NPI number is 7/1/2012 and was last updated on 7/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		303962	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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