Individual provider · Type 1 NPI
Katie Lynn Pernot-Moyer, CRNP
Gerontology Nurse Practitioner · Scranton, PA
NPI number
1114707882
Active
Practice location
1371 N Washington Ave
Scranton, PA 18509-2840
Mailing address
170 Center St
Dupont, PA 18641-1430
Other practice locations
- 161 Cecil B Moore Ave Apt 204, Philadelphia, PA 19122-3243 · (866) 306-2026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP028097 (PA) |
| Nurse Practitioner | 363L00000X | SP028097 (PA) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Scranton
About NPI 1114707882
Katie Lynn Pernot-Moyer, CRNP's National Provider Identifier is 1114707882, issued on Oct 2, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Scranton, PA. The record was last updated on Jan 15, 2026.