Organization · Type 2 NPI
Pine Run Mental Health & Wellness
Psychiatric/Mental Health Nurse Practitioner · Williamsport, PA
NPI number
1902624869
Active
Practice location
400 Market St
Williamsport, PA 17701-6344
Fax (929) 724-2277
Mailing address
2319 Pine Run Rd
Linden, PA 17744-8149
Other practice locations
- 2319 Pine Run Rd, Linden, PA 17744-8149 · (929) 724-2277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Williamsport
About NPI 1902624869
Pine Run Mental Health & Wellness's National Provider Identifier is 1902624869, issued on Sep 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Williamsport, PA. The record was last updated on Jul 6, 2026.