Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN PETILLO
ActiveGLENN PETILLO is a Nurse's Aide healthcare provider located in ANZA, California. NPI 1770936635 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · ANZA, CA
Registration Details
- NPI Number
- 1770936635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2016 (10.057019028299 yrs)
- Last Updated
- Jul 15, 2016
- Licenses
-
00903914 (CA)00270053 (CA)
Practice Information
- Address
-
37802 FISCHER RDANZA, CA, 925399203Browse CA providers · Browse ZIP 92539
- Phone
- 9515513204
- Primary Specialty
-
Nurse's Aide
376K00000X
- Additional Specialty
- Home Health Aide
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.