Clare Ruth Petty is a Family in Marietta, Ohio. Clare Ruth Petty practices all healthcare services and medical treatments related to Family. The NPI Number for Clare Ruth Petty is 1366622185. The last update date is 2020-08-19.
Clare Ruth Petty's current location address is 300 E 8th St Ste 121, Marietta, Ohio. You can contact this provider via phone number 7403747464 and fax number 7403741562. The mailing address for Clare Ruth Petty is 300 E 8th St Ste 121, Marietta, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clare Ruth Petty |
|---|---|
| Address | 300 E 8th St Ste 121, Marietta, Ohio |
| Phone Number | 7403747464 |
| Fax Number | 7403741562 |
| Sole Proprietor | Y |
| Credentials | APRN, BC |
NPI Number Detail
| NPI Number | 1366622185 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2020-08-19 |
Provider Mailing Address Detail
| Address | 300 E 8th St Ste 121 |
|---|---|
| City | Marietta |
| State | Ohio (OH) |
| Post Code | 457503379 |
| Phone Number | 7403747464 |
| Fax Number | 7403741562 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 46395 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810011172 | WV | -- | |
| 2953399 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clare Ruth Petty by the Centers for Medicare & Medicaid Services (CMS)?
The Clare Ruth Petty has been assigned the NPI (National Provider Identifier) 1366622185. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Clare Ruth Petty?
The Clare Ruth Petty is physically situated at 300 E 8Th St Ste 121, in the city of Marietta, state of OH, with the postal code 457503379.
What is the Clare Ruth Petty's specialty and taxonomy code?
The Clare Ruth Petty's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366622185 to Clare Ruth Petty?
The Centers for Medicare & Medicaid Services originally issued the 1366622185 to Clare Ruth Petty on 2007-11-08.
When was the information related to Clare Ruth Petty most recently updated or refreshed?
The details pertaining to the Clare Ruth Petty, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-19.