Individual
JULIE A PETTIT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2590
(304) 422-3924
Mailing address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-3904
(304) 422-3924
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
56061
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2366845
—
OH
05
—
2604247000
—
WV
Enumeration date
10/05/2005
Last updated
07/08/2007
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