person
Samantha Nicole Petty, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Sterling, Illinois
NPI 1174248405

Samantha Nicole Petty is a Psychiatric/Mental Health Nurse Practitioner based in Sterling, IL and is specialized in Psychiatric/Mental Health. Samantha Nicole Petty practices in Sterling, IL and has the professional credentials of PMHNP. The NPI Number for Samantha Nicole Petty is 1174248405 and holds a License No. 209.026134 (Illinois).

The current practice location address for Samantha Nicole Petty is 1808 19Th Ave, Sterling, IL and can be reached out via phone at 815-718-2344.

Location: 1808 19Th Ave, Sterling, IL, 61081-1676
person
Provider Profile Details
NPI Number
1174248405
Provider Name
Samantha Nicole Petty
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1808 19Th Ave, Sterling, IL, 61081-1676
Phone Number
815-718-2344
Fax Number
Provider Enumeration Date
10/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1808 19Th Ave
City
State
Zip
61081-1676
Phone Number
815-718-2344
Fax Number
person
Provider Business Mailing Address Details
Address
1808 19Th Ave
City
State
Zip
61081-1676
Phone Number
815-718-2344
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209.026134 (Illinois)
Definition
Definition to come...
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