NPI Profile for DEBRA W PETRO in DOVER, DE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Adolescent |
364SP0807X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1265582670 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 01/11/2007 | |
| Last updated | 04/02/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEBRA W PETRO
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