Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GLENN PETTY, RN, ACNS-BC, CCNS
Active Sole ProprietorAdult Health Clinical Nurse Specialist · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1255951216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2020 (6.0213519657366 yrs)
- Last Updated
- Apr 20, 2020
- Licenses
-
095570 (MN)71 (MN)71 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 HARVARD ST SEMINNEAPOLIS, MN, 554550363Browse MN providers · Browse ZIP 55455
- Phone
- 6122735607
- Fax
- 6122739966
- Primary Specialty
-
Adult Health Clinical Nurse Specialist
364SA2200X
- Additional Specialty
- Critical Care Clinical Nurse Specialist
- Additional Specialty
- Adult Health Clinical Nurse Specialist
Other Adult Health Clinical Nurse Specialist Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| KELLI J SIMMONS | APRN | 1336186048 |
| RHONDA LEE GOSEN | CNS | 1538278775 |
| SHARON LUCILLE LEHMANN | CNS | 1538269568 |
| MS. NATALIE ANN ROSEN | CNS | 1023157492 |
| MS. MAUREEN ELAINE WIXSTEN | APRN-BC | 1396934121 |
| MARGARET ANNE BEBLER | APRN, BC | 1528241726 |
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.