Individual
MRS. PATRICIA ANN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
900 PLAZA DR, MONTOURSVILLE, PA 17754-2448
(570) 368-8621
(570) 368-8652
Mailing address
1201 GRAMPIAN BLVD, PO BOX 3127, WILLIAMSPORT, PA 17701-0127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007483
PA
363LF0000X
Family Nurse Practitioner
SP007483
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008709140001
—
PA
05
—
1008709140002
—
PA
05
—
1008709140003
—
PA
01
—
2009868
UNITEDHEALTHCARE
PA
01
—
P01859
HEALTHAMERICA
PA
Enumeration date
03/31/2006
Last updated
10/04/2011
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