Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Run Mental Health & Wellness

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1902624869

Pine Run Mental Health & Wellness is a Psychiatric/Mental Health Nurse Practitioner in Williamsport, Pennsylvania. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

400 Market St
Williamsport, PA 17701-6344
Phone: (929) 724-2277
Fax: (929) 724-2277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2319 Pine Run Rd, Linden, PA 17744-8149 — (929) 724-2277

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1902624869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Petersen — Pmhnp/Owner · (570) 215-9965
NPI enumeratedSeptember 30, 2024
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address2319 Pine Run Rd, Linden, PA 17744-8149

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