Individual
ANDREW THOMAS PETRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1323 W PRINCE RD, TUCSON, AZ 85705-3114
(520) 887-0800
(520) 887-1393
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 887-0800
(520) 887-1393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
259011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096533
—
AZ
Enumeration date
07/02/2021
Last updated
01/29/2025
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