Carol Petry is a Nurse Practitioner in Spencer, Indiana. Carol Petry practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carol Petry is 1508816182. The last update date is 2011-07-28.
Carol Petry's current location address is 9 N Crane Ave, Spencer, Indiana. You can contact this provider via phone number 8128292237 and fax number 8128296342. The mailing address for Carol Petry is 9 N Crane Ave, Spencer, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Petry |
|---|---|
| Address | 9 N Crane Ave, Spencer, Indiana |
| Phone Number | 8128292237 |
| Fax Number | 8128296342 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1508816182 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2011-07-28 |
Provider Mailing Address Detail
| Address | 9 N Crane Ave |
|---|---|
| City | Spencer |
| State | Indiana (IN) |
| Post Code | 4746015070 |
| Phone Number | 8128292237 |
| Fax Number | 8128296342 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71000346 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200202930A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol Petry by the Centers for Medicare & Medicaid Services?
The Carol Petry has been issued the NPI (National Provider Identifier) 1508816182, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carol Petry's physical address?
The Carol Petry is physically located at 9 N Crane Ave, in the city of Spencer, IN, with the postal code 4746015070.
What is Carol Petry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carol Petry's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did Carol Petry receive its 1508816182 assignment from the Centers for Medicare & Medicaid Services?
The Carol Petry was assigned its 1508816182 on 2006-05-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Carol Petry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carol Petry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-07-28.