Individual
RACHEL PETICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1400 SE 2ND ST, FORT LAUDERDALE, FL 33301-3967
(305) 923-6501
Mailing address
1400 SE 2ND ST, FORT LAUDERDALE, FL 33301-3967
(305) 923-6501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11038387
FL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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