Individual
NELSON J PETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1423 CHAPEL ST, NEW HAVEN, CT 06511-4411
(203) 865-3852
Mailing address
193 THOMPSON ST UNIT A, EAST HAVEN, CT 06513-1912
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
090629
CT
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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