Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESIRAE PETTIT
ActiveNurse's Aide · TERRYVILLE, CT
Registration Details
- NPI Number
- 1124649157
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2020 (5.9993061867415 yrs)
- Last Updated
- Apr 30, 2020
- License
-
NA91285300 (CT)
Practice Information
- Address
-
33 BEACH AVETERRYVILLE, CT, 067866317Browse CT providers · Browse ZIP 06786
- Phone
- 2035924593
- Primary Specialty
-
Nurse's Aide
376K00000X
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.