Search › Louisiana › 171M00000X
Stacey Petties
NPI 1407201973 · on the registry since 2016
Practice
- Address
- 19331 N. 12th St
Covington, LA 70433 - Phone
- (985) 400-5901
- Fax
- (985) 400-5164
- Organisation at this address
- Walk With Me Community Improvement Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana