MRS. Mary Therese Petrella, ND MS RN FNP BC

NPI #1922016849 in La Salle, Illinois

Provider Information

NPI Number
1922016849
Entity Type
Individual
Name
MRS. Mary Therese Petrella, ND MS RN FNP BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
ND MS RN FNP BC
Enumeration Date
Aug 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2970 CHARTRES
Address 2
HYGIENIC INSTITUTE COMMUNITY HEALTH CLINIC
ZIP Code
61301
Phone
(815) 223-0196

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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