Individual
MRS. ANNA LORIE PETTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Mailing address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024181044
VA
363LF0000X
Family Nurse Practitioner
Primary
0024181044
VA
Other
Enumeration date
03/02/2021
Last updated
02/15/2024
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