NPI 1033199559

Lisa Ann Petty, CRNA

Practitioner Certified Registered Nurse Anesthetist Tacoma, WA

Practice location

Address: 9040 Jackson Ave, Tacoma, WA 98431-0001
Phone: (253) 968-2252
Fax: (253) 968-3278
Mailing address: Madigan Army Medical Center 9040 Reid St., Attn: McHj-Qcr, Tacoma, WA 98431-0001

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 107635 (MO)

Other Nurse Anesthetist, Certified Registered providers in Washington →

Registry record

NPI: 1033199559
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2006
Record last updated: 10 Jul 2019

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.