IndividualActive
Patricia Pettis, APRN
NPI 1104582097 · Pediatric Adolescent Medicine Physician · Newington, NH
Provider details
- NPI number
- 1104582097
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 031898-23 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Shattuck Way Ste 100
Newington, NH 03801-8007
Phone: (603) 431-6677
Fax: (603) 610-2232
Approximate (ZIP-level) locationGet directions
Mailing address
100 Shattuck Way Ste 100
Newington, NH 03801-8007
Registry dates
- Enumerated
- 2021-11-15
- Last updated
- 2021-11-15
- Certified
- 2021-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.