Samantha Nicole Petty, PMHNP

NPI #1174248405 in Sterling, Illinois

Provider Information

NPI Number
1174248405
Entity Type
Individual
Name
Samantha Nicole Petty, PMHNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP
Enumeration Date
Oct 10, 2022
Last Updated
Oct 10, 2022

Practice Location

Address
1808 19TH AVE
ZIP Code
61081-1676
Phone
(815) 718-2344

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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