IndividualActive
Stacey Pettorini, BSN,RN
NPI 1558077057 · Administrator Registered Nurse · Des Moines, IA
Provider details
- NPI number
- 1558077057
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- BSN,RN
- Sex
- Female
- Sole proprietor
- No
- License
- 111512 (IA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
3600 30th St
Des Moines, IA 50310-5753
Phone: (515) 699-3190
Fax: (515) 699-5736
Approximate (ZIP-level) locationGet directions
Mailing address
3600 30th St
Des Moines, IA 50310-5753
Registry dates
- Enumerated
- 2023-01-27
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.