Individual
RACHELLE RAE PETIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5100 E BROADWAY BLVD, TUCSON, AZ 85711-3762
(520) 613-3001
(520) 613-3003
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-6257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-14658
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096235
—
OH
Enumeration date
06/20/2013
Last updated
08/11/2022
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