Individual
DEVIN LEE PETULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
222 CHESTNUT AVE, ALTOONA, PA 16601-4928
(814) 946-8046
(814) 946-3693
Mailing address
222 CHESTNUT AVE, ALTOONA, PA 16601-4928
(814) 946-8046
(814) 946-3693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015013
PA
Other
Enumeration date
06/01/2015
Last updated
04/13/2016
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