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
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
Mailing address475 Spring Ln, Philadelphia, PA 19128-3918

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