Individual provider · Type 1 NPI
Barbara Ann Pettenon, N.P.
Adult Health Nurse Practitioner · Flushing, NY
NPI number
1528210804
Active
Practice location
5645 Main St, Cardiac Cath. Lab
Flushing, NY 11355-5045
Fax (516) 437-4167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F303853 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1528210804
Barbara Ann Pettenon, N.P.'s National Provider Identifier is 1528210804, issued on Oct 17, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Flushing, NY. The record was last updated on Oct 17, 2008.