IndividualActive
Julie Petsche
NPI 1649692328 · Certified Registered Nurse Anesthetist · Keesler Afb, MS
Provider details
- NPI number
- 1649692328
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 819190 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
301 Fisher St
Keesler Afb, MS 39534-2508
Phone: (850) 389-9915
Approximate (ZIP-level) locationGet directions
Mailing address
301 Fisher St
Keesler Afb, MS 39534-2508
Registry dates
- Enumerated
- 2014-01-14
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.