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Rachelle Rae Petika, NP-C
Family Nurse Practitioner in Tucson, Arizona
NPI 1639518962

Rachelle Rae Petika is a Family Nurse Practitioner based in Nashville, AZ and is specialized in Family. Rachelle Rae Petika practices in Tucson, AZ and has the professional credentials of NP-C. The NPI Number for Rachelle Rae Petika is 1639518962 and holds a License No. NP-14658 (Arizona).

The current practice location address for Rachelle Rae Petika is 5100 E Broadway Blvd, Tucson, AZ and can be reached out via phone at 520-613-3001 and via fax at 520-613-3003.

Location: 5100 E Broadway Blvd, Tucson, AZ, 37205-5250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639518962
Provider Name
Rachelle Rae Petika
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
5100 E Broadway Blvd, Tucson, AZ, 37205-5250
Phone Number
520-613-3001
Fax Number
520-613-3003
Provider Enumeration Date
06/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0096235 05 OH
institution
Provider Business Practice Location Address Details
Address
5100 E Broadway Blvd
City
Tucson
State
Arizona
Zip
85711-3762
Phone Number
520-613-3001
Fax Number
520-613-3003
person
Provider Business Mailing Address Details
Address
5100 E Broadway Blvd
City
Tucson
State
Arizona
Zip
85711-3762
Phone Number
520-613-3001
Fax Number
520-613-3003
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP-14658 (Ohio)
Definition
Definition to come...
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