Individual provider · Type 1 NPI

Carrie Petesch

Licensed Practical Nurse · Oklahoma City, OK

NPI number 1043628167 Active

Practice location

4420 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Call (405) 425-0341 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X63703 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1043628167

Carrie Petesch's National Provider Identifier is 1043628167, issued on Aug 1, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 1, 2014.