Healthcare Provider Details

I. General information

NPI: 1689745895
Provider Name (Legal Business Name): KAREN A. KASKIE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 COMMERCE PARK DR SUITE 110
WILLIAMSPORT PA
17701-5475
US

IV. Provider business mailing address

1468 STATE ROUTE 890
PAXINOS PA
17860-7029
US

V. Phone/Fax

Practice location:
  • Phone: 570-323-6944
  • Fax: 570-323-4529
Mailing address:
  • Phone: 570-898-7632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN294050L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP010789
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: