Healthcare Provider Details

I. General information

NPI: 1578938056
Provider Name (Legal Business Name): ANN NARCOONIS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 BEAVER DR
DU BOIS PA
15801-2434
US

IV. Provider business mailing address

33 BEAVER DR
DU BOIS PA
15801-2434
US

V. Phone/Fax

Practice location:
  • Phone: 814-503-8070
  • Fax:
Mailing address:
  • Phone: 814-503-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015709
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP020758
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN639455
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: