Individual provider · Type 1 NPI
Michael Petika
Critical Care Medicine Registered Nurse · Salem, VA
NPI number
1932755816
Active
Practice location
1970 Roanoke Blvd
Salem, VA 24153-6404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 1244484 (VA) |
| Nurse Practitioner | 363L00000X | 0024191604 (VA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1932755816
Michael Petika's National Provider Identifier is 1932755816, issued on Aug 15, 2019. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Salem, VA. The record was last updated on Feb 25, 2026.