Individual provider · Type 1 NPI

Maureen Pettis

Home Health Registered Nurse · Churchville, NY

NPI number 1861965733 Active

Practice location

46 Rochelle Dr
Churchville, NY 14428-9765

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X425455-1 (NY)

Home Health Registered Nurse: Definition to come...

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About NPI 1861965733

Maureen Pettis's National Provider Identifier is 1861965733, issued on Jan 3, 2019. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Churchville, NY. The record was last updated on Jan 3, 2019.