Individual
PATRICIA MARIE PETZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(800) 642-1999
(248) 646-0361
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(800) 642-1999
(248) 646-0361
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
705259
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP2187172
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9475650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
705259
MEDICAL LICENSE
TX
Enumeration date
07/11/2006
Last updated
12/28/2017
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