Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Corcoran

Individual provider Registered Nurse · NPI 1649625112

Crystal Corcoran is a Registered Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

475 Spring Ln
Philadelphia, PA 19128-3918 Not confirmed with CMS for 10 years — call before visiting
Phone: (215) 482-5353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 618192 (PA)
Radiologic Technologist Taxonomy 247100000X · Licence 408831 (PA)

Record details

NPI number1649625112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2016
Last updated in NPPESMay 3, 2016

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