National Provider Identifier
Maureen Pettis
Maureen Pettis is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Churchville, NY and a listed phone number of (585) 329-5855.
Profile Overview
- NPI
- 1861965733
- Provider Type
- Individual
- Primary Specialty
- Home Health Registered Nurse
- Enumeration Date
- January 03, 2019
- Last Updated
- January 03, 2019
Practice Location
- 46 Rochelle Dr
- Churchville, NY 14428-9765
Phone: (585) 329-5855
Specialties
- Home Health Registered Nurse (163WH0200X)
Full Record
- NPI
- 1861965733
- Entity Type
- Individual
- Last Name
- Pettis
- First Name
- Maureen
- Mailing Street Address
- 46 Rochelle Dr
- Mailing City
- Churchville
- Mailing State
- NY
- Mailing ZIP Code
- 14428-9765
- Mailing Country
- US
- Mailing Phone
- (585) 329-5855
- Practice Street Address
- 46 Rochelle Dr
- Practice City
- Churchville
- Practice State
- NY
- Practice ZIP Code
- 14428-9765
- Practice Country
- US
- Practice Phone
- (585) 329-5855
- Enumeration Date
- January 03, 2019
- Last Updated
- January 03, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Home Health Registered Nurse (163WH0200X)