Individual
DEBRA ELAINE PETTIT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
14800 COUNTY ROAD 88, PIERCE, CO 80650-9309
(970) 834-1217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125188
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60708832
—
CO
Enumeration date
10/05/2005
Last updated
07/08/2007
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