Individual
MS. ELIZABETH ANN PETITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8301 DETROIT AVE, CLEVELAND, OH 44102-1805
(216) 281-2660
Mailing address
2202 PRAME AVE, CLEVELAND, OH 44109-1626
(216) 281-2660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F1209224
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2011014335
OH
Other
Enumeration date
07/09/2010
Last updated
07/26/2024
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