Individual
HEATHER M. PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
352
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000298188
BCBS PIN
MT
01
—
0280398
MDCD PIN
MT
Enumeration date
09/23/2006
Last updated
05/12/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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