Mary Kathryn Petta, APRN-CNS - Clinical Nurse Specialist in Norfolk, NE

Mary Kathryn Petta, APRN-CNS is a Clinical Nurse Specialist based in Norfolk, Nebraska. Mary Kathryn Petta is licensed to practice in Nebraska (license number 114001) and her current practice location is 2700 W Norfolk Ave, Norfolk, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 371-4880.

NPI number for Mary Kathryn Petta is 1609153741 and her current mailing address is 2700 W Norfolk Ave, Norfolk, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609153741.

Contact Information

Mary Kathryn Petta, APRN-CNS
2700 W Norfolk Ave,
Norfolk, NE 68701-4438
(402) 371-4880
Not Available



Provider's Profile

Full NameMary Kathryn Petta
GenderFemale
SpecialityClinical Nurse Specialist
Location2700 W Norfolk Ave, Norfolk, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609153741
  • Provider Enumeration Date: 11/03/2011
  • Last Update Date: 11/17/2011

Medical Identifiers

Medical identifiers for Mary Kathryn Petta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609153741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist 114001 (Nebraska)Primary
163W00000XRegistered Nurse 27389 (Nebraska)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Kathryn Petta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Kathryn Petta, APRN-CNS
2700 W Norfolk Ave,
Norfolk, NE 68701-4438

Ph: (402) 371-4880
Mary Kathryn Petta, APRN-CNS
2700 W Norfolk Ave,
Norfolk, NE 68701-4438

Ph: (402) 371-4880

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› Verified 5 days ago


Clinical Nurse Specialist Nurses in Norfolk, NE


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