Individual provider · Type 1 NPI

Diane Clare Pettit, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Washington, DC

NPI number 1073674628 Active

Practice location

2 Wramc Rm 2J38, 6900 Georgia Ave
Washington, DC 20307-0001

Mailing address

2 Wramc Room 2J38, 6900 Georgia Ave
Washington, DC 20307-0001

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR041390 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1073674628

Diane Clare Pettit, NURSE PRACTITIONER's National Provider Identifier is 1073674628, issued on Dec 13, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2007.