Individual
RHONDA S PETTITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 W NORFOLK AVE, NORFOLK, NE 68701-5340
(402) 379-0122
Mailing address
100 W NORFOLK AVE, NORFOLK, NE 68701-5340
(402) 379-0122
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
111230
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111230
NE
Other
Enumeration date
07/30/2012
Last updated
03/25/2016
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