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

ELIZABETH M PETTIS

Active Sole Proprietor

ELIZABETH M PETTIS is a Home Health healthcare provider located in OAK CREEK, Wisconsin. NPI 1275165516 is currently active in the NPPES registry. Verify at CMS.

Home Health · OAK CREEK, WI

Registration Details

NPI Number
1275165516
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2020 (6.5558118654845 yrs)
Last Updated
Feb 5, 2020
Sole Proprietor
Yes

Practice Information

Address
6868 S ASH ST
OAK CREEK, WI, 531541604
Browse WI providers · Browse ZIP 53154
Phone
4142549434
Fax
4142157227
Primary Specialty
Home Health
251E00000X
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.