Individual provider · Type 1 NPI

Lance Michael Petty

Registered Nurse · Wakefield, MA

NPI number 1174090153 Active

Practice location

701 Edgewater Dr Ste 300
Wakefield, MA 01880-6242

Call (781) 486-4116 Map

Mailing address

18158 Woodsdale Ct
Porter, TX 77365-3651

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X345381 (TX)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174090153

Lance Michael Petty's National Provider Identifier is 1174090153, issued on Oct 29, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Wakefield, MA. The record was last updated on Oct 29, 2018.