Individual
MRS. DIANE CLARE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2 WRAMC RM 2J38, 6900 GEORGIA AVE, WASHINGTON, DC 20307-0001
(202) 782-6114
Mailing address
2 WRAMC ROOM 2J38, 6900 GEORGIA AVE, WASHINGTON, DC 20307-0001
(202) 782-6114
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R041390
MD
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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