Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUNA PETTIS, ANP
ActiveSHAUNA PETTIS, ANP is a Adult Health Nurse Practitioner healthcare provider located in BRANDYWINE, Maryland. NPI 1902133143 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · BRANDYWINE, MD
Registration Details
- NPI Number
- 1902133143
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2009 (16.720725926257 yrs)
- Last Updated
- Feb 16, 2023
- License
-
R215472 (MD)
Practice Information
- Address
-
7450 ALBERT RD FL 2BRANDYWINE, MD, 206133035Browse MD providers · Browse ZIP 20613
- Phone
- 3018882233
- Fax
- 3018889133
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in BRANDYWINE, MD
| Name | Credential | NPI |
|---|---|---|
| GEORGE PATRICK GLICK | NP | 1891865325 |
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.