Individual
KATIE LYNN PERNOT-MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1371 N WASHINGTON AVE, SCRANTON, PA 18509-2840
(570) 963-6639
Mailing address
170 CENTER ST, DUPONT, PA 18641-1430
(570) 479-0877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP028097
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP028097
PA
Other
Enumeration date
10/02/2023
Last updated
01/15/2026
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