Provider Demographics
NPI:1619940897
Name:PETRARCA, JOANNE (CRNP FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:PETRARCA
Suffix:
Gender:
Credentials:CRNP FNP-BC
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:PETRARCA
Other - Last Name:BROPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4262 OLD WILLIAM PENN HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1954
Mailing Address - Country:US
Mailing Address - Phone:412-668-4444
Mailing Address - Fax:724-468-0039
Practice Address - Street 1:900 PARISH ST STE 315
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3425
Practice Address - Country:US
Practice Address - Phone:410-668-4444
Practice Address - Fax:412-873-5773
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003029B363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS49362Medicare UPIN
S49362Medicare UPIN