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SAMANTHA NICOLE PETTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1808 19TH AVE, STERLING, IL 61081-1676
(815) 718-2344
Mailing address
1808 19TH AVE, STERLING, IL 61081-1676
(815) 718-2344

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.026134
IL

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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