Kaitlyn Anne Maculloch
CRNP | Nurse Practitioner - Adult Health | 6+ years Exp
1000 E Mountain Dr, Wilkes Barre
Pennsylvania, 18711-0027
570-808-4772
Kaitlyn Anne Maculloch is a Wilkes Barre, Pennsylvania based nurse practitioner with 6 years of experience in Adult Health. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kaitlyn Anne Maculloch is SP023619 in Pennsylvania. Her current practice location is 1000 E Mountain Dr, Wilkes Barre. Patients can reach her at 570-808-4772 or can fax her at 570-808-6174. Kaitlyn Anne Maculloch is CRNP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1952907917.
Kaitlyn Anne Maculloch can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Kaitlyn Anne Maculloch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kaitlyn Anne Maculloch |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | CRNP |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1000 E Mountain Dr, Wilkes Barre,
Pennsylvania, 18711-0027 |
| Phone: | 570-808-4772 |
| Fax: | 570-808-6174 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8325447386 |
| Enrollment ID: | I20210524001442 |
| NPI Number: | 1952907917 |
| NPI Enumeration Date: | 07 Dec, 2020 |
| NPI Last Update On: | 26 Aug, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaitlyn Anne Maculloch are as mentioned below.
| License Number | Specialization | State | Status | |
| SP023619 | | Pennsylvania | Primary | |
| SP023619 | Adult Health | Pennsylvania | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kaitlyn Anne Maculloch is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Cleanslate Medical Group Of Pennsylvania Llc (8426334400) | 30 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kaitlyn Anne Maculloch
100 N Academy Ave,
Danville, Pennsylvania |
| Zip: | 17822-4903 |
| Phone Number: | 570-271-6144 |
| Fax Number: | 570-271-6578 |
Patients can reach Kaitlyn Anne Maculloch at
1000 E Mountain Dr, Wilkes Barre, Pennsylvania or can
call to book an appointment on 570-808-4772.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.