Christy Engstrom Petyak
Nurse Practitioner - Pediatrics
111 Michigan Ave Nw
Washington
, District of Columbia 20010-2916
Christy Engstrom Petyak
Nurse Practitioner - Pediatrics
111 Michigan Ave Nw
Washington
, District of Columbia 20010-2916
(202) 476-5000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Christy Engstrom Petyak
- P.o. Box 37215
- Baltimore, MD
- Zip : 21297-3215
- Phone : (202) 476-5000
Second Address
- Christy Engstrom Petyak
- 111 Michigan Ave Nw
- Washington, DC
- Zip : 20010-2916
- Phone : (202) 476-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN1008781 | DC |
National Provider Identifier
| NPI | 1033483748 |
|---|---|
| Provider Name | Christy Engstrom Petyak |
| First Address | Baltimore, MD 21297-3215 |
| Second Address | Washington, DC 20010-2916 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2012 |
| Last Update Date | 01/11/2012 |
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.