Individual
HEIDI PETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(920) 926-0101
Mailing address
23 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 926-0101
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
235370
WI
Other
Enumeration date
06/01/2022
Last updated
09/08/2022
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