Most Relevant Information
Provider Data
| NPI Number: | 1003246851 |
| Provider Name: | KATE CORDISCO CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP013420 |
Most Important Dates
| Enumeration Date: | 11/14/2013 |
| Last Updated: | 11/24/2020 |
Provider Practice Location
293 PEAT MOSS RD
WHITE HAVEN
PA
186613803
Practice Location Phone/Fax
| Phone: | 5709724471 |
| Fax: |
Provider Mailing Location
293 PEAT MOSS RD
WHITE HAVEN
PA
186613803
Provider Mailing Phone/Fax
| Phone: | 5709724471 |
| Fax: |