Individual
MRS. CHERYL Y PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,NP
Contact information
Practice address
1481 W 10TH ST, RM. C-1058, INDIANAPOLIS, IN 46202-2803
(317) 988-2744
(317) 988-2884
Mailing address
8118 CONARROE RD, INDIANAPOLIS, IN 46278-1210
(317) 337-0488
(317) 988-2884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28087874A
IN
Other
Enumeration date
09/06/2006
Last updated
09/06/2023
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