SAMANTHA NICOLE PETTY

STERLING, IL
NPI1174248405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.026134)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
SAMANTHA NICOLE PETTY PMHNP
1808 19TH AVE
STERLING, IL 61081-1676
Phone number: 815-718-2344
Mailing Address
SAMANTHA NICOLE PETTY PMHNP
1808 19TH AVE
STERLING, IL 61081-1676
Phone number: 815-718-2344
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