NPI 1033054986

Tania L Petry, BS

Practitioner Case Manager/Care Coordinator Fairmont, WV

Practice location

Address: 14 E Grafton Rd STE C, Fairmont, WV 26554-4465
Phone: (304) 366-5832

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1033054986
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2026
Record last updated: 20 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.