Maria C Petty, NURSEPRACTITIONER
Maria C Petty, NURSEPRACTITIONER is a Gerontology Nurse Practitioner in Willoughby, Ohio. Licensed in Connecticut, Massachusetts and Ohio. Registered with an NPI since 2011.
- Licensed in
- CT, MA, OH
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
35000 Kaiser CtWilloughby, OH 44094-3382
Phone: (440) 269-4600
Fax: (216) 229-6017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence NP020610 (OH) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 004979 (CT) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence RN2290435 (MA) |
Record details
| NPI number | 1114204419 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | November 15, 2011 |
| Last updated in NPPES | July 8, 2021 |
| Certification date | July 8, 2021 |
Other providers in Willoughby
-
Kristine Leigh Moore, CNP
36100 Euclid Ave Ste 420, Willoughby, OH 44094-4429 · (440) 946-4662