Individual
MARK PETROLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
326 ADAMS AVE, SCRANTON, PA 18503-1604
(570) 348-6100
Mailing address
326 ADAMS AVE, SCRANTON, PA 18503-1604
(570) 348-6100
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN673560
PA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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