Individual
ANNE M PETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
34503 9TH AVE SOUTH, #220, FEDERAL WAY, WA 98003
(253) 927-3243
(253) 627-0855
Mailing address
316 MARTIN LUTHER KING JR WAY, #212, TACOMA, WA 98405
(253) 383-5777
(253) 627-0855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30003868
WA
363L00000X
Nurse Practitioner
Primary
RN00061732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9618182
—
WA
Enumeration date
10/05/2006
Last updated
09/21/2012
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