Individual
DIANNE LYNNE PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 LINCOLN AVE, BELLEVUE, PA 15202-3755
(412) 761-3000
Mailing address
355 LINCOLN AVE, BELLEVUE, PA 15202-3755
(412) 761-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011635
PA
Other
Enumeration date
08/26/2008
Last updated
12/19/2022
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