Individual provider · Type 1 NPI

M. Kathleen Scanlon, PNP

Pediatric Nurse Practitioner · Watertown, NY

NPI number 1831186402 Active

Practice location

35 Empsall Plaza
Watertown, NY 13601-0000

Call (315) 464-2027 Map

Mailing address

36 W 5th St
Oswego, NY 13126-1315

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381157-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1831186402

M. Kathleen Scanlon, PNP's National Provider Identifier is 1831186402, issued on Sep 29, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Watertown, NY. The record was last updated on Jul 13, 2026.