Individual
MS. PATRICIA ANN PETTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 232-9500
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 232-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
190814
MA
Other
Enumeration date
09/04/2007
Last updated
08/06/2020
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