MEDICARE: VALERIE RUTH MACLEAN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	N16471-01	NY

General Provider Information

NPI Number	:	1366386526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE RUTH MACLEAN RN

Provider Business Mailing Address
First Line	:	175 GREEN ST
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12202-2011
Country	:	US
Telephone Number	:	518-447-4537
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 GREEN ST
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12202-2011
Country	:	US
Telephone Number	:	518-447-4537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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