IndividualActive
Michael Petika
NPI 1932755816 · Critical Care Medicine Registered Nurse · Salem, VA
Provider details
- NPI number
- 1932755816
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1244484 (VA)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1970 Roanoke Blvd
Salem, VA 24153-6404
Phone: (540) 982-2463
Approximate (ZIP-level) locationGet directions
Mailing address
1970 Roanoke Blvd
Salem, VA 24153-6404
Registry dates
- Enumerated
- 2019-08-15
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.