Petty, Samantha Nicole

Petty, Samantha Nicole is an sole proprietor health care provider with primary practice located at 1808 19Th Ave , Sterling IL 61081-1676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Petty, Samantha Nicole can be contacted via phone (815) 718-2344.

Contact Information

Primary practice address
1808 19Th Ave Sterling IL 61081-1676
Phone: (815) 718-2344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.026134 Illinois

Profile Details

NPI number 1174248405
LBN Legal business name Petty, Samantha Nicole
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2022
Last updated Oct 10th, 2022 - about 4 years ago

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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