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

ALEXANDRA LAUREN PETTUS, NURSE PRACTITIONER

Active Sole Proprietor

ALEXANDRA LAUREN PETTUS, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in SAN BERNARDINO, California. NPI 1750148748 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAN BERNARDINO, CA

Registration Details

NPI Number
1750148748
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2024 (2.444067420754 yrs)
Last Updated
Mar 5, 2024
License
95028213 (CA)
Sole Proprietor
Yes

Practice Information

Address
1800 WESTERN AVE STE 204
SAN BERNARDINO, CA, 924111353
Browse CA providers · Browse ZIP 92411
Phone
9094749952
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SAN BERNARDINO, CA

Name Credential NPI
MELINDA LOUISE FUNK FNP 1679560346
SUSAN A. D. STRONG FNP 1891767026
MS. ELAINE MARIE GACKLE NP 1093789000
DR. RUTH AYUKONSOH TANYI RN, MSN, NP-C 1053463612
MRS. KATHLEEN E COLE NP 1295879831
MS. PAULINE (TONY) ANTOINETTE HILTON NP 1356474381
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.