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MICHAEL GLENN PETTY RN, ACNS-BC, CCNS
NPI 1255951216
Clinical Nurse Specialist - Adult Health in Minneapolis, MN

Active since April 20, 2020
500 HARVARD ST SE, MINNEAPOLIS, MN 55455(612) 273-5607(612) 273-9966 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Glenn Petty Rn, Acns-bc, Ccns NPPES

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

MICHAEL GLENN PETTY RN, ACNS-BC, CCNS (NPI 1255951216) is an individual adult health provider in Minneapolis, Minnesota, licensed in Minnesota (71) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1255951216
Entity TypeIndividualMale
Primary Taxonomy364SA2200X
Provider Legal NameMICHAEL GLENN PETTYCredential: RN, ACNS-BC, CCNS
Location Address500 HARVARD ST SEMinneapolis, MN 55455-0363
Mailing Address7615 Xerxes Ave SRichfield, MN 55423-3546 · (612) 273-5607 · Fax (612) 273-9966
Phone(612) 273-5607
Fax(612) 273-9966
Sole ProprietorYes
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1255951216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in MN · 71
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 095570 (MN)
Also ListedClinical Nurse Specialist · Critical Care MedicineTaxonomy 364SC0200X · License 71 (MN)
500 HARVARD ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

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.

CHRISTINA MANIAN RDN, LD
Dietitian, Registered
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-5188
DR. JOSEPH E. KUMKA MD, PHD
Internal Medicine (Gastroenterology)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
TYLER MUELLNER RN
Registered Nurse (Critical Care Medicine)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 260-0514
DR. MICHAEL H WALL MD
Anesthesiology
500 HARVARD ST SE, UNIVERSITY OF MINNESOTA MEDICAL CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
JEFFREY FAHRENBRUCH RPH
Pharmacist
500 HARVARD ST SE, SUITE 3-017
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2121
DR. VENUS VAKHSHORI M.D.
Orthopaedic Surgery (Hand Surgery)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-3343
KAILEY GEIB PA-C
Physician Assistant
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 380-6474
KYLE JAMES ANDERSON
Perfusionist
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (712) 330-4001

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 Michael Petty's NPI number?

The NPI number for Michael Petty is 1255951216. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Michael Petty located?

Michael Petty practices at 500 Harvard St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-5607.

What is Michael Petty's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Michael Petty was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.