MARTHA ALICE PETTY RN NPI 1033610043

NPI Information

NPI: 1033610043
Provider Name: MARTHA ALICE PETTY, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
600 B ST STE 1570
SAN DIEGO, CA
ZIP 92101
Phone: (619) 615-0439
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Martha Alice Petty, RN is a psychiatric/mental health registered nurse in San Diego, CA. Martha Alice Petty, RN NPI is 1033610043. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 B ST STE 1570
SAN DIEGO, CA
ZIP 92101-560
Phone: (619) 615-0439

The enumeration date for this NPI number is 2/24/2018 and was last updated on 2/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN95147003	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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