Individual
KERRIANN PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7262 GOVERNORS WEST NW STE 105, HUNTSVILLE, AL 35806-2378
(256) 418-9014
Mailing address
3203 ROCK FENCE RD SE, OWENS CROSS ROADS, AL 35763-7004
(908) 917-5992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-177822
AL
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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