| Angetta M Petit, CRNA | |
|
3900 Woodland Ave, Philadelphia, PA 19104-4551 | |
| (215) 823-8500 | |
| Not Available |
| Full Name | Angetta M Petit |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3900 Woodland Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881830834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN353993L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NO10641700 (New Jersey) | Primary |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Angetta M Petit, CRNA 3900 Woodland Avenue, Philadelphia, PA 19104-9020 Ph: (215) 823-5800 | Angetta M Petit, CRNA 3900 Woodland Ave, Philadelphia, PA 19104-4551 Ph: (215) 823-8500 |
Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900 | |
Rosabelle Mccullough, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Dulles Bldg, Ste 680, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Heather Moore, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-4000 | |
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000 | |
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 | |
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 | |
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 |