Michael Glenn Petty, RN, ACNS-BC, CCNS - Clinical Nurse Specialist in Minneapolis, MN

Michael Glenn Petty, RN, ACNS-BC, CCNS is a Clinical Nurse Specialist - Adult Health based in Minneapolis, Minnesota. Michael Glenn Petty is licensed to practice in Minnesota (license number 71) and his current practice location is 500 Harvard St Se, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 273-5607.

NPI number for Michael Glenn Petty is 1255951216 and his current mailing address is 7615 Xerxes Ave S, Richfield, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255951216.

Contact Information

Michael Glenn Petty, RN, ACNS-BC, CCNS
500 Harvard St Se,
Minneapolis, MN 55455-0363
(612) 273-5607
(612) 273-9966

Map and Direction




Provider's Profile

Full NameMichael Glenn Petty
GenderMale
SpecialityClinical Nurse Specialist - Adult Health
Location500 Harvard St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255951216
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 04/20/2020

Medical Identifiers

Medical identifiers for Michael Glenn Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255951216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 095570 (Minnesota)Secondary
364SC0200XClinical Nurse Specialist - Critical Care Medicine 71 (Minnesota)Secondary
364SA2200XClinical Nurse Specialist - Adult Health 71 (Minnesota)Primary

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. Michael Glenn Petty 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 AddressPractice Location Address
Michael Glenn Petty, RN, ACNS-BC, CCNS
7615 Xerxes Ave S,
Richfield, MN 55423-3546

Ph: (612) 273-5607
Michael Glenn Petty, RN, ACNS-BC, CCNS
500 Harvard St Se,
Minneapolis, MN 55455-0363

Ph: (612) 273-5607

Reviews and Comments


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