Individual provider · Type 1 NPI
Emily Pettis, APRN
Family Nurse Practitioner · Costa Mesa, CA
NPI number
1841905635
Active
Practice location
437 16th Pl
Costa Mesa, CA 92627-3211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95023403 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1841905635
Emily Pettis, APRN's National Provider Identifier is 1841905635, issued on Jan 17, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jan 17, 2023.