# MS. MARYKATHRYN CORCORAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740264092
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | SP006933B | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP009695 | PA | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 08/05/2010