Individual
BARBARA E PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19415 DEERFIELD AVE, SUITE 213, LEESBURG, VA 20176-8452
(703) 729-9220
(703) 858-3529
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 729-9220
(703) 858-3529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
0024169385
VA
Other
Enumeration date
09/24/2006
Last updated
05/26/2015
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