CARRIE PETESCH
NPI 1043628167
Licensed Practical Nurse in Oklahoma City, OK

Active since August 01, 2014
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105(405) 425-0341 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carrie Petesch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRIE PETESCH (NPI 1043628167) is an individual licensed practical nurse in Oklahoma City, Oklahoma, licensed in Oklahoma (63703) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1043628167
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCARRIE PETESCH
Location Address4420 N LINCOLN BLVDOklahoma City, OK 73105-5104
Mailing Address4420 N Lincoln BlvdOklahoma City, OK 73105-5104 · (405) 425-0341
Sole ProprietorNo
Enumeration DateAugust 1, 2014
NPI 1043628167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OK · 63703
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4420 N LINCOLN BLVD, Oklahoma City, OK 73105

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Clinic/Center (Mental Health (Including Community Mental Health Center))
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Community Health Worker
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Registered Nurse (Psychiatric/Mental Health)
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Counselor (Professional)
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Health and Wellness Coach
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Counselor (Mental Health)
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Social Worker (Clinical)
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Petesch's NPI number?

The NPI number for Carrie Petesch is 1043628167. It was assigned to this individual provider in the NPPES registry on August 1, 2014.

Where is Carrie Petesch located?

Carrie Petesch practices at 4420 N Lincoln Blvd, Oklahoma City, OK 73105. The listed phone number is (405) 425-0341.

What is Carrie Petesch's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Carrie Petesch was last updated on August 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.