WYLETTA PETTIT NPI 1851867014

NPI Information

  • NPI: 1851867014
  • Provider Name: WYLETTA PETTIT
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 607 N POLK AVE
    WAGONER, OK
    ZIP 74467
  • Phone: (918) 304-4371

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NPI Details

Wyletta Pettit is a peer specialist in Wagoner, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Wyletta Pettit NPI is 1851867014. 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:

607 N POLK AVE
WAGONER, OK
ZIP 74467-713
Phone: (918) 304-4371

The enumeration date for this NPI number is 10/15/2018 and was last updated on 10/15/2018.

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
1175T00000XPeer SpecialistYes

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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