Individual
ANDREA IRENE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3210 W CHARLESTON BLVD STE 2, LAS VEGAS, NV 89102-0080
(702) 444-0768
Mailing address
3210 W CHARLESTON BLVD STE 2, LAS VEGAS, NV 89102-0080
(725) 286-1855
(725) 286-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
811308
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
811308
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95015570
CA
Other
Enumeration date
07/02/2019
Last updated
11/02/2023
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