Individual provider · Type 1 NPI

Brandon Petty

Family Nurse Practitioner · Maumee, OH

NPI number 1881438034 Active

Practice location

1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPP-000045957 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1881438034

Brandon Petty's National Provider Identifier is 1881438034, issued on Jun 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maumee, OH. The record was last updated on Jun 22, 2024.