Individual provider · Type 1 NPI

Cynthia Pettry

School Registered Nurse · Madison, WV

NPI number 1255501078 Active

Practice location

69 Avenue B
Madison, WV 25130-1162

Fax (304) 369-6789

Mailing address

501 22nd St
Dunbar, WV 25064-1711

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X44494 (WV)

School Registered Nurse: Definition to come...

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About NPI 1255501078

Cynthia Pettry's National Provider Identifier is 1255501078, issued on Mar 7, 2008. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Madison, WV. The record was last updated on Mar 7, 2008.