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

Mary Kathryn Waldrep, CRNP

Individual provider Family Nurse Practitioner · NPI 1881576247

Mary Kathryn Waldrep, CRNP is a Nurse Practitioner in Honesdale, Pennsylvania. Qualified in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

201 Park St
Honesdale, PA 18431-2051
Phone: (352) 299-3055
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP033089 (PA)

Record details

NPI number1881576247
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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