| Doctor Name: | KATE CORDISCO |
| NPI Number: | 1003246851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP013420 |
| Business Practice Address: | 959 Wyoming Ave Scranton, PA - 185093023 |
| Business Phone Number: | 5703449684 |
| Business Fax Number: | 5709690968 |
| Mailing Address: | 959 Wyoming Ave, Po Box 31 SCRANTON |
| State: | PA |
| Postal Code: | 185093023 |
| Phone Number: | 5703443517 |
| Fax Number: | 5703446839 |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP013420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |