Individual
MS. MELISSA C PETTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(978) 403-1418
Mailing address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(978) 403-1418
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN60345209
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61058265
WA
Other
Enumeration date
02/11/2020
Last updated
11/03/2020
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