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NPI Code Detail

MEDICARE: CHRISTINA RAE PETRO PMHNP-BC

MEDICARE: CHRISTINA RAE PETRO PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2025096480OH

General Provider Information

NPI Number : 1023950722
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA RAE PETRO PMHNP-BC
Provider Business Mailing Address
First Line : 196 COLONIAL DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 196 COLONIAL DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2139
Country : US
Telephone Number : 234-232-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 05/19/2026

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