Individual
CARLIE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RAINTREE PKWY, TONAWANDA, NY 14150-2605
(716) 438-8630
Mailing address
100 RAINTREE PKWY, TONAWANDA, NY 14150-2605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
832666
NY
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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