Healthcare Provider Details

I. General information

NPI: 1124690219
Provider Name (Legal Business Name): KAYLA GATTO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 S WASHINGTON AVE
JERMYN PA
18433-1121
US

IV. Provider business mailing address

125 HARRISON ST
DUNMORE PA
18512-2353
US

V. Phone/Fax

Practice location:
  • Phone: 570-230-0019
  • Fax:
Mailing address:
  • Phone: 570-687-3667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN711846
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP024142
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP029638
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: