Individual provider · Type 1 NPI
Elizabeth A. Petcov, CRNP
Nurse Practitioner · Lebanon, PA
Practice location
252 S 4th St
Lebanon, PA 17042-6111
Mailing address
601 Memory Ln
York, PA 17402-2231
Other practice locations
- 169 Martin Ave, Ephrata, PA 17522-1734 · (717) 721-4740
- 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 · (717) 686-9842
- 720 Norman Dr, Lebanon, PA 17042-7481 · (717) 639-3230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP017652 (PA) |
| Family Nurse Practitioner | 363LF0000X | MC4527581 (PA) |
| Hospitalist Physician | 208M00000X | SP017652 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1720504152
Elizabeth A. Petcov, CRNP's National Provider Identifier is 1720504152, issued on Aug 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lebanon, PA. The record was last updated on Nov 7, 2025.