Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KATHRYN PETTA, APRN-CNS
Active Sole ProprietorMARY KATHRYN PETTA, APRN-CNS is a Clinical Nurse Specialist healthcare provider located in NORFOLK, Nebraska. NPI 1609153741 is currently active in the NPPES registry. Verify at CMS.
Clinical Nurse Specialist · NORFOLK, NE
Registration Details
- NPI Number
- 1609153741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2011 (14.786767229159 yrs)
- Last Updated
- Nov 17, 2011
- Licenses
-
114001 (NE)27389 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2700 W NORFOLK AVENORFOLK, NE, 687014438Browse NE providers · Browse ZIP 68701
- Phone
- 4023714880
- Primary Specialty
-
Clinical Nurse Specialist
364S00000X
- Additional Specialty
- Registered Nurse
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.