Individual
DENISE PETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
115 N WOODLAND ST, MANCHESTER, TN 37355-1573
(931) 954-5219
Mailing address
115 N WOODLAND ST, MANCHESTER, TN 37355-1573
(931) 954-5219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36914
TN
363LF0000X
Family Nurse Practitioner
95005270
CA
Other
Enumeration date
10/10/2016
Last updated
08/29/2024
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