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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIA C PETTY, NURSE PRACTITIONER

Active

MARIA C PETTY, NURSE PRACTITIONER is a Primary Care Nurse Practitioner healthcare provider located in WILLOUGHBY, Ohio. NPI 1114204419 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · WILLOUGHBY, OH

Registration Details

NPI Number
1114204419
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2011 (14.701163066594 yrs)
Last Updated
Jul 8, 2021
Licenses
004979 (CT)
NP020610 (OH)
RN2290435 (MA)

Practice Information

Address
35000 KAISER CT
WILLOUGHBY, OH, 440943382
Browse OH providers · Browse ZIP 44094
Phone
4402694600
Fax
2162296017
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in WILLOUGHBY, OH

Name Credential NPI
MR. GARY CHRISTOPHER BERNARDO CNP 1508661083
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.