Individual provider · Type 1 NPI
Tanya Lynn Petaccio, CRNP
Psychiatric/Mental Health Nurse Practitioner · Lehighton, PA
NPI number
1740172253
Active
Practice location
1290 Blakeslee Boulevard Dr W Ste 1
Lehighton, PA 18235-9352
Fax (484) 727-9991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SPO33194 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Lehighton
About NPI 1740172253
Tanya Lynn Petaccio, CRNP's National Provider Identifier is 1740172253, issued on Jul 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lehighton, PA. The record was last updated on Jul 18, 2025.