Latisha Renee Petty
NPI #1245199280 in Petersburg, Virginia
Provider Information
- NPI Number
- 1245199280
- Entity Type
- Individual
- Name
- Latisha Renee Petty
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Jan 16, 2026
- Last Updated
- Jan 16, 2026
Practice Location
- Address
- 1429 HALIFAX ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-5933
- Phone
- (540) 748-6048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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