Individual provider · Type 1 NPI
Marykathryn Corcoran, CRNP
Psychiatric/Mental Health Nurse Practitioner · State College, PA
NPI number
1740264092
Active
Practice location
315 South Allen St., Suite 417-A
State College, PA 16801
Fax (814) 238-0080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP009695 (PA) |
| Family Nurse Practitioner | 363LF0000X | SP006933B (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740264092
Marykathryn Corcoran, CRNP's National Provider Identifier is 1740264092, issued on Nov 30, 2005. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in State College, PA. The record was last updated on Aug 5, 2010.