Individual
MRS. ROBIN DIANE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,PHN
Contact information
Practice address
317 YORK AVE, SAINT PAUL, MN 55130-4039
(651) 774-0202
(651) 774-5517
Mailing address
2060 CENTRE POINTE BLVD, SUITE # 3, SAINT PAUL, MN 55120-1269
(651) 774-0011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-132456-5
MN
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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