Individual
MS. MARYKATHRYN CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
315 SOUTH ALLEN ST., SUITE 417-A, STATE COLLEGE, PA 16801
(814) 238-2121
(814) 238-0080
Mailing address
315 SOUTH ALLEN ST., SUITE 417-A, STATE COLLEGE, PA 16801
(814) 238-2121
(814) 238-0080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP006933B
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP009695
PA
Other
Enumeration date
11/30/2005
Last updated
08/05/2010
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