Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA PETTYE
Active Sole ProprietorWANDA PETTYE is a Licensed Practical Nurse healthcare provider located in PARK FOREST, Illinois. NPI 1780998674 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · PARK FOREST, IL
Registration Details
- NPI Number
- 1780998674
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2010 (16.024994738189 yrs)
- Last Updated
- Aug 3, 2010
- License
-
043071327 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3618 WESTERN AVEPARK FOREST, IL, 604662126Browse IL providers · Browse ZIP 60466
- Phone
- 7082280999
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in PARK FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| LAKEISHA WARNER | LPN | 1306492764 |
| MS. OLATOKUNBO OWOKONIRAN | — | 1639032832 |
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.