Individual
MRS. SAMANTHA ANN FRANCES PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CPN
Contact information
Practice address
10524 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-3881
Mailing address
9000 KIRTLAND CHARDON RD, KIRTLAND, OH 44094
(440) 487-5987
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
022426
OH
Other
Enumeration date
03/01/2018
Last updated
01/14/2021
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