Individual
JANA PETELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320
(603) 609-6819
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
082357-23
NH
367500000X
Certified Registered Nurse Anesthetist
204167
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
4030919
KY
367500000X
Certified Registered Nurse Anesthetist
RNA183052
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122430
—
NH
Enumeration date
06/08/2016
Last updated
01/24/2025
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