Provider Demographics
NPI:1023517661
Name:KASKELA, JANET (LPN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:KASKELA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9519 PINNACLE RD
Mailing Address - Street 2:
Mailing Address - City:SAUQUOIT
Mailing Address - State:NY
Mailing Address - Zip Code:13456-3017
Mailing Address - Country:US
Mailing Address - Phone:315-939-0549
Mailing Address - Fax:
Practice Address - Street 1:9519 PINNACLE RD
Practice Address - Street 2:
Practice Address - City:SAUQUOIT
Practice Address - State:NY
Practice Address - Zip Code:13456-3017
Practice Address - Country:US
Practice Address - Phone:315-939-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY329172164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY329172OtherLPN LICENSE