Individual provider · Type 1 NPI
Melissa Jane Petty, NP
Neonatal Nurse Practitioner · Los Alamos, NM
NPI number
1790748168
Active
Practice location
3917 West Rd
Los Alamos, NM 87544-2275
Mailing address
7029 Camino Rojo
Santa Fe, NM 87507-3533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | CNP-03454 (NM) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1790748168
Melissa Jane Petty, NP's National Provider Identifier is 1790748168, issued on Apr 7, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Los Alamos, NM. The record was last updated on Jan 5, 2024.