Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE PETROVICH, PA-C
ActiveDIANE PETROVICH, PA-C is a Physician Assistant healthcare provider located in NUREMBERG, Pennsylvania. NPI 1386723534 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NUREMBERG, PA
Registration Details
- NPI Number
- 1386723534
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2006 (19.757424614009 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA000042L (PA)
Practice Information
- Address
-
75 PINEAPPLE STREETBLACK CREEK HEALTH CENTERNUREMBERG, PA, 182410670Browse PA providers · Browse ZIP 18241
- Phone
- 5703843201
- Fax
- 5703843454
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.