Individual provider · Type 1 NPI

Diane Petrovich, PA-C

Physician Assistant · Nuremberg, PA

NPI number 1386723534 Active

Practice location

75 Pineapple Street, Black Creek Health Center
Nuremberg, PA 18241-0670

Fax (570) 384-3454

Mailing address

1084 Route 315
Wilkes-Barre, PA 18702-7012

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA000042L (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

About NPI 1386723534

Diane Petrovich, PA-C's National Provider Identifier is 1386723534, issued on Nov 6, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nuremberg, PA. The record was last updated on Jul 8, 2007.