Individual
STACEY ANN PETTORINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-3190
(515) 699-5736
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-3190
(515) 699-5736
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
111512
IA
163WC0200X
Critical Care Medicine Registered Nurse
111512
IA
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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