Maria C Petty, NURSE PRACTITIONER Valid NPI

Individual provider · Primary Care Nurse Practitioner · Willoughby, OH

NPI

1114204419

Type

Individual (Type 1)

Primary specialty

Primary Care Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP2300X

License number

NP020610 (OH)

Sex

Female

Sole proprietor

No

Enumerated

2011-11-15

Last updated

2021-07-08