Individual
MS. JENNA PETRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 557-1850
Mailing address
11781 LEE JACKSON MEMOIRAL HIGHWAY, SUITE 550, FAIRFAX, VA 22033-3309
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
604836
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
604836
NY
Other
Enumeration date
06/22/2015
Last updated
12/02/2015
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