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Tracy L Rockefeller, CRNP
Psychiatric/Mental Health Nurse Practitioner in Lakeville, Pennsylvania
NPI 1346472057

Tracy L Rockefeller is a Psychiatric/Mental Health Nurse Practitioner based in Lake Ariel, PA and is specialized in Psychiatric/Mental Health. Tracy L Rockefeller practices in Lakeville, PA and has the professional credentials of CRNP. The NPI Number for Tracy L Rockefeller is 1346472057 and holds a License No. SP010412 (Pennsylvania).

The current practice location address for Tracy L Rockefeller is 1258 Purdytown Tpke, Lakeville, PA and can be reached out via phone at 570-647-9277 and via fax at 570-227-0084.

Location: 1258 Purdytown Tpke, Lakeville, PA, 18436-8013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346472057
Provider Name
Tracy L Rockefeller
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1258 Purdytown Tpke, Lakeville, PA, 18436-8013
Phone Number
570-647-9277
Fax Number
570-227-0084
Provider Enumeration Date
08/13/2009
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
1258 Purdytown Tpke
City
Lakeville
State
Pennsylvania
Zip
18438-6793
Phone Number
570-647-9277
Fax Number
570-227-0084
person
Provider Business Mailing Address Details
Address
1258 Purdytown Tpke
City
Lakeville
State
Pennsylvania
Zip
18438-6793
Phone Number
570-647-9277
Fax Number
570-227-0084
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
SP010412 (Pennsylvania)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
SP010412 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
SP010412 (Pennsylvania)
Definition
Definition to come...
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