Individual provider · Type 1 NPI
Samantha Nicole Petty, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Sterling, IL
NPI number
1174248405
Active
Practice location
1808 19th Ave
Sterling, IL 61081-1676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.026134 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Sterling
About NPI 1174248405
Samantha Nicole Petty, PMHNP's National Provider Identifier is 1174248405, issued on Oct 10, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sterling, IL. The record was last updated on Oct 10, 2022.