Active NPIIndividual provider

Mary Petruzzi, APRN

Nurse Practitioner, Family in Minnetonka, Minnesota

NPI Number1922048073
Practice location
9900 Bren RD E, Minnetonka, MN 55343-9664
Fax
—
Last updated
March 3, 2021

Mary Petruzzi is a Nurse Practitioner, Family based in Minnetonka, MN. Mary Petruzzi practices in Minnetonka, MN and has the professional credentials of APRN. The NPI Number for Mary Petruzzi is 1922048073 and holds a License No. F333230-1 (NY). The current practice location address for Mary Petruzzi is 9900 Bren RD E, Minnetonka, MN 55343-9664 and can be reached out via phone at 203-605-0804.

Provider Profile Details

NPI Number
1922048073
Provider Name
Mary Petruzzi
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
9900 Bren RD E, Minnetonka, MN 55343-9664
Phone Number
203-605-0804
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2006
Last Update Date
March 3, 2021
Certification Date
February 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9900 Bren RD E
Minnetonka, MN 55343-9664
Zip
55343-9664
Phone Number
203-605-0804
Minnetonka, MN 55343Get directions →

Provider Business Mailing Address Details

Address
126 Sherman Hill RD Apt C10
Woodbury, CT 06798-3641
City
Woodbury
State
CT
Zip
06798-3641
Phone Number
203-605-0804

License Information

License Number (1)
F333230-1
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
002938
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
RN2269965
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Petruzzi, APRN?

The NPI number of Mary Petruzzi, APRN is 1922048073. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary Petruzzi, APRN?

Mary Petruzzi, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F333230-1.

Where does Mary Petruzzi, APRN practice?

The practice location is 9900 Bren RD E, Minnetonka, MN 55343-9664. The office can be reached at 203-605-0804 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922048073 directly on the NPPES registry website.

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