Individual provider · Type 1 NPI
Mary Kathryn Petta, APRN-CNS
Clinical Nurse Specialist · Norfolk, NE
Practice location
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Nurse Specialist Primary | 364S00000X | 114001 (NE) |
| Registered Nurse | 163W00000X | 27389 (NE) |
Clinical Nurse Specialist: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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About NPI 1609153741
Mary Kathryn Petta, APRN-CNS's National Provider Identifier is 1609153741, issued on Nov 3, 2011. The primary taxonomy on file is Clinical Nurse Specialist (364S00000X), and the practice location is in Norfolk, NE. The record was last updated on Nov 17, 2011.