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Individual

JOANN F PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN CNS

Taxonomy

Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
209004957
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206147
MEDICARE PTAN (GROUP)
IL
01
206147075
MEDICARE PTAN (INDIVIDUAL)
IL
01
CA4748
MEDICARE RAILROAD PTAN (GROUP)
IL
01
P01013439
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
06/20/2007
Last updated
05/18/2013
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