SONDRA C PETIT NP NPI 1689755753

NPI Information

NPI: 1689755753
Provider Name: SONDRA C PETIT, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
855 MONTGOMERY ST
DEPT OF OB/GYN
FORT WORTH, TX
ZIP 76107
Phone: (817) 927-1065
Get Directions

Sondra C Petit, NP is a women's health nurse practitioner in Fort Worth, TX. Sondra C Petit, NP NPI is 1689755753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 MONTGOMERY ST
DEPT OF OB/GYN
FORT WORTH, TX
ZIP 76107-553
Phone: (817) 927-1065

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/9/2010.

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	363LW0102X	Nurse Practitioner	Women's Health	245715	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TXB111230	MEDICARE PIN	TEXAS
2	8N8815	OTHER	TEXAS	BCBS
3	P20477	MEDICARE UPIN	TEXAS
4	8D9112	MEDICARE PIN	TEXAS
5	143498702	MEDICAID	TEXAS

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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