person
Maria C Petty, NURSEPRACTITIONER
Gerontology Nurse Practitioner in Willoughby, Ohio
NPI 1114204419

Maria C Petty is a Gerontology Nurse Practitioner based in Willoughby, OH and is specialized in Gerontology. Maria C Petty practices in Willoughby, OH and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Maria C Petty is 1114204419 and holds a License No. 004979 (Ohio).

The current practice location address for Maria C Petty is 35000 Kaiser Ct, Willoughby, OH and can be reached out via phone at 440-269-4600 and via fax at 216-229-6017. You can also correspond with Maria C Petty through the mailing address at 35000 KAISER CT, WILLOUGHBY, OH - 44094-3382 (mailing address contact number: 440-269-4600).

Location: 35000 Kaiser Ct, Willoughby, OH, 44094-3382
person
Provider Profile Details
NPI Number
1114204419
Provider Name
Maria C Petty
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
35000 Kaiser Ct, Willoughby, OH, 44094-3382
Phone Number
440-269-4600
Fax Number
216-229-6017
Provider Enumeration Date
11/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35000 Kaiser Ct
City
State
Zip
44094-3382
Phone Number
440-269-4600
Fax Number
216-229-6017
person
Provider Business Mailing Address Details
Address
35000 Kaiser Ct
City
State
Zip
44094-3382
Phone Number
440-269-4600
Fax Number
216-229-6017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
NP020610 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
004979 (Connecticut)
Definition
Definition to come...
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