NPI 1033599519 DEVIN LEE PETULLA CRNP ALTOONA PA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Devin Lee Petulla - NPI: 1033599519

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DEVIN LEE PETULLA
NPI Number: 1033599519
Entity Type Code: Individual (1)
Gender: F
Credentials: CRNP
License Number: SP015013
Business Practice Address: 222 Chestnut Ave
Altoona, PA - 166014928
Business Phone Number: 8149468046
Business Fax Number: 8149463693
Mailing Address: 222 Chestnut Ave,
ALTOONA
State: PA
Postal Code: 166014928
Phone Number: 8149468046
Fax Number: 8149463693
NPI Enumeration Date: 06/01/2015
NPI Last Update Date: 04/13/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: SP015013
Healthcare Provider Taxonomy:
(Secondary)
Y
State: PA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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