Mary Kathryn Petta, APRN-CNS is a
Clinical Nurse Specialist based in Norfolk, Nebraska. Mary Kathryn Petta is licensed to practice in Nebraska (license number 114001) and her current practice location is
2700 W Norfolk Ave, Norfolk, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 371-4880.
NPI number for Mary Kathryn Petta is 1609153741 and her current mailing address is 2700 W Norfolk Ave, Norfolk, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609153741.
Provider's Profile
Full Name | Mary Kathryn Petta |
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Gender | Female |
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Speciality | Clinical Nurse Specialist |
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Location | 2700 W Norfolk Ave, Norfolk, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609153741
- Provider Enumeration Date: 11/03/2011
- Last Update Date: 11/17/2011
Medical Identifiers
Medical identifiers for Mary Kathryn Petta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609153741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364S00000X | Clinical Nurse Specialist | 114001 (Nebraska) | Primary |
163W00000X | Registered Nurse | 27389 (Nebraska) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Kathryn Petta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Kathryn Petta, APRN-CNS 2700 W Norfolk Ave, Norfolk, NE 68701-4438 Ph: (402) 371-4880 | Mary Kathryn Petta, APRN-CNS 2700 W Norfolk Ave, Norfolk, NE 68701-4438 Ph: (402) 371-4880 |
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