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NPI 1124649157

IndividualActive

Desirae Pettit

NPI 1124649157 · Nurse's Aide · Terryville, CT

Provider details

NPI number: 1124649157
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Sex: Female
Sole proprietor: No
License: NA91285300 (CT)

Practice location

33 Beach Ave

Terryville, CT 06786-6317

Phone: (203) 592-4593

More CT providers

Mailing address

33 Beach Ave

Terryville, CT 06786-6317

Registry dates

Enumerated: 2020-04-30
Last updated: 2020-04-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Desirae Pettit — NPI 1124649157, Terryville, CT | NPI Central