Amber D Petty
Surgeon Nurse Practitioner - Acute Care
2401 W University Ave Ste 403
Muncie
, Indiana 47303-3428
Amber D Petty
Surgeon Nurse Practitioner - Acute Care
2401 W University Ave Ste 403
Muncie
, Indiana 47303-3428
(765) 281-2620
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About
Features
Specialties
- Surgeon
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Amber D Petty
- 2525 W University Ave
- Muncie, IN
- Zip : 47303-3421
- Fax : (765) 281-2620
- Phone : (765) 289-6381
Second Address
- Amber D Petty
- 2401 W University Ave Ste 403
- Muncie, IN
- Zip : 47303-3428
- Phone : (765) 751-5405
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 71009345A | IN |
| Y | 208600000X | Surgeon | 71009345A | IN |
| N | 363LA2100X | Nurse Practitioner - Acute Care | 71009345A | IN |
National Provider Identifier
| NPI | 1013568724 |
|---|---|
| Provider Name | Amber D Petty |
| First Address | Muncie, IN 47303-3421 |
| Second Address | Muncie, IN 47303-3428 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2019 |
| Last Update Date | 02/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.