Individual
NANCY HALL PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 MCKENZIE AVE, SUITE 201, COUNCIL BLUFFS, IA 51503
(712) 256-6100
Mailing address
29824 290TH ST, PO BOX 405, NEOLA, IA 51559-0405
(712) 485-2693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001808
IA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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