Individual provider · Type 1 NPI

Amy Dietzen Petticrew, PA-C

Physician Assistant · Charlotte, NC

NPI number 1801287610 Active

Practice location

6324 Fairview Rd, Suite 201
Charlotte, NC 28210-3271

Call (704) 384-0588 Map

Mailing address

PO Box 60447, Suite 200
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-05569 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801287610

Amy Dietzen Petticrew, PA-C's National Provider Identifier is 1801287610, issued on Feb 16, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 26, 2023.