Cory Balko, CRNP
Nurse Practitioner, Family in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1891341673
StatusActive
Last updated in NPPESJan 21, 2025
Details
- NPI
- 1891341673
- Entity type
- Individual (NPI-1)
- Name
- Cory Balko
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2019
- Certification date
- Jan 21, 2025
- Last updated
- Jan 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP020687 | PA | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | SP020687 | PA | |
| 363L00000X | Nurse Practitioner | SP020687 | PA |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0027
Phone 570-808-6114 · Fax 570-808-6362
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
Other practice locations
206 E Brown St
East Stroudsburg, PA 18301-3006
East Stroudsburg, PA 18301-3006
Phone 570-421-4000 · Fax 570-476-3786
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