EMILY PETTIS APRN NPI 1841905635

NPI Information

  • NPI: 1841905635
  • Provider Name: EMILY PETTIS, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 437 16TH PL
    COSTA MESA, CA
    ZIP 92627
  • Phone: (949) 300-9704

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NPI Details

Emily Pettis, APRN is a family nurse practitioner in Costa Mesa, CA. Emily Pettis, APRN NPI is 1841905635. 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:

437 16TH PL
COSTA MESA, CA
ZIP 92627-211
Phone: (949) 300-9704

The enumeration date for this NPI number is 1/17/2023 and was last updated on 1/17/2023.

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
1363LF0000XNurse PractitionerFamily95023403CALIFORNIAYes

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: 11/21/2025

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