Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | SP010214 | PA |
NPI | 1013149160 |
---|---|
Provider Name | Ms. Kathleen Cournan Sarro |
First Address | New Castle, PA 16105-3207 |
Second Address | New Castle, PA 16105-3207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2009 |
Last Update Date | 29/03/2010 |