Petredis, Misty Ann

Petredis, Misty Ann is an sole proprietor health care provider with primary practice located at 6383 Redmont Ct , Liberty Township OH 45044-8665. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Petredis, Misty Ann can be contacted via phone (513) 678-7999.

Contact Information

Primary practice address
6383 Redmont Ct Liberty Township OH 45044-8665
Phone: (513) 678-7999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN126935 Ohio
Nursing Service Providers / Registered Nurse 163W00000X 397234 Ohio

Profile Details

NPI number 1962697664
LBN Legal business name Petredis, Misty Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2007
Last updated Nov 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962697664 NPPES
Ohio MEDICAID 2763764

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