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

Individual provider Physician Assistant · NPI 1386723534

Diane Petrovich, PA-C is a Physician Assistant in Nuremberg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

75 Pineapple Street Black Creek Health Ctr
Nuremberg, PA 18241-0670
Phone: (570) 384-3201
Fax: (570) 384-3454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA000042L (PA)

Record details

NPI number1386723534
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 8, 2007