JOANN F PETTY APN CNS NPI 1780889626

NPI Information

NPI: 1780889626
Provider Name: JOANN F PETTY, APN CNS
Classification: Clinical Nurse Specialist - 364SX0200X
Entity Type: Individual

Specialization: Oncology

PECOS Registration: Yes

Address:
4405 WEAVER PKWY
WARRENVILLE, IL
ZIP 60555
Phone: (630) 352-5300
Get Directions

Joann F Petty, APN CNS is an oncology clinical nurse specialist in Warrenville, IL. Joann F Petty, APN CNS NPI is 1780889626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4405 WEAVER PKWY
WARRENVILLE, IL
ZIP 60555-269
Phone: (630) 352-5300
Fax: (630) 352-5499

The NPI 1780889626 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 5/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SX0200X	Clinical Nurse Specialist	Oncology	209004957	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	206147	OTHER	ILLINOIS	MEDICARE PTAN (GROUP)
2	206147075	OTHER	ILLINOIS	MEDICARE PTAN (INDIVIDUAL)
3	CA4748	OTHER	ILLINOIS	MEDICARE RAILROAD PTAN (GROUP)
4	$$$$$$$$$001	MEDICAID	ILLINOIS
5	P01013439	OTHER	ILLINOIS	MEDICARE RAILROAD PTAN (INDIVIDUAL)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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