Whalio Doctors

NPI 1013355817

Michael Duane Petty, CRNA

Practitioner Certified Registered Nurse Anesthetist Spokane, WA

Practice location

Address
101 W 8th Ave Mother Gamelin Center 3rd Floor, Spokane, WA 99204-2307
Phone
(509) 474-2072

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP60367548 (WA)
Anesthesiologist Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AP60367548 (WA)

Registry record

NPI
1013355817
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jun 2013
Record last updated
11 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.