Individual provider · Type 1 NPI
Andrea Irene Petty, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
NPI number
1194387886
Active
Practice location
3210 W Charleston Blvd Ste 2
Las Vegas, NV 89102-0080
Other practice locations
- 1902 Wright Pl Ste 200, Carlsbad, CA 92008-6583 · (725) 286-1855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 811308 (NV) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95015570 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 811308 (NV) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194387886
Andrea Irene Petty, PMHNP's National Provider Identifier is 1194387886, issued on Jul 2, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 2, 2023.