Individual provider · Type 1 NPI
Patrice Marie Pettitt
General Practice Registered Nurse · Wynantskill, NY
NPI number
1831021633
Active
Practice location
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Fax (518) 283-3013
Mailing address
209 Stewart Point Rd
Nassau, NY 12123-3123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 500195-01 (NY) |
General Practice Registered Nurse: Definition to come...
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Other general practice registered nurse providers in Wynantskill
About NPI 1831021633
Patrice Marie Pettitt's National Provider Identifier is 1831021633, issued on Jun 3, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Wynantskill, NY. The record was last updated on Jun 3, 2026.