Samantha R Petty in Chattanooga - Nurse Practitioner

Samantha R Petty - NPI 1801950399

Samantha R Petty is a Nurse Practitioner in Chattanooga, Tennessee. Samantha R Petty practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Samantha R Petty is 1801950399. The last update date is 2007-07-08.

Samantha R Petty's current location address is Po Box 21867, Chattanooga, Tennessee. You can contact this provider via phone number 4238990500 and fax number 4238992411. The mailing address for Samantha R Petty is Po Box 21867, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Samantha R Petty
Address Po Box 21867, Chattanooga, Tennessee
Phone Number 4238990500
Fax Number 4238992411
Sole Proprietor N
Credentials APN, RN

NPI Number Detail

NPI Number 1801950399
Provider Enumeration Date 2006-12-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 21867
City Chattanooga
State Tennessee (TN)
Post Code 374240867
Phone Number 4238990500
Fax Number 4238992411

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No APN000000527
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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FAQs about Samantha R Petty

What is the unique 10-digit identification code issued to Samantha R Petty by the Centers for Medicare & Medicaid Services?

The Samantha R Petty has been assigned the NPI (National Provider Identifier) 1801950399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Samantha R Petty's facilities are situated?

The facilities of Samantha R Petty are physically located at the following address: Po Box 21867, Chattanooga, TN, 374240867.

What is Samantha R Petty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Samantha R Petty is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the Samantha R Petty receive the assignment of its 1801950399 from the Centers for Medicare & Medicaid Services?

The Samantha R Petty was issued its 1801950399 by the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date was the information pertaining to Samantha R Petty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Samantha R Petty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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