Individual
STEPHANIE E. PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4220 SANCROFT DR, APEX, NC 27539-8913
(919) 924-5044
Mailing address
4220 SANCROFT DR, APEX, NC 27539-8913
(919) 924-5044
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
196338
NC
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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