RESHAWNA PETTY
Licensed Practical Nurse
Active
Individual
NPI: 1972864130
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 309539-1 (NY) |
Frequently Asked Questions
NPI 1972864130 is the National Provider Identifier for RESHAWNA PETTY, a Licensed Practical Nurse provider located in Buffalo, NY. This NPI was enumerated on June 5, 2012.
RESHAWNA PETTY practices at 15 BRUNSWICK BLVD, Buffalo, NY 14208.
Quick Facts
- NPI
- 1972864130
- Type
- Individual
- Enumerated
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
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