Individual provider · Type 1 NPI

Johanna Christine Pettrey, FNP-BC

Family Nurse Practitioner · Portales, NM

NPI number 1265413447 Active

Practice location

1515 W Fir St
Portales, NM 88130-5703

Mailing address

912 W 21st St
Clovis, NM 88101-4154

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR47083 (NM)
Family Nurse Practitioner 363LF0000X0001144582 (VA)
Family Nurse Practitioner Primary 363LF0000XCNP01151 (NM)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1265413447

Johanna Christine Pettrey, FNP-BC's National Provider Identifier is 1265413447, issued on Nov 7, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portales, NM. The record was last updated on Apr 24, 2024.