MS. CAROL PETRY NP
NPI 1508816182
Nurse Practitioner in Spencer, IN

Q: What is Carol Petry's NPI number?

The NPI number for Carol Petry is 1508816182. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Carol Petry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Petry was last updated on July 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 12, 2006

9 N CRANE AVE, SPENCER, IN 47460(812) 829-2237(812) 829-6342 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Carol Petry Np NPPES

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

MS. CAROL PETRY NP (NPI 1508816182) is an individual nurse practitioner in Spencer, Indiana, licensed in Indiana (71000346) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1508816182

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. CAROL PETRYCredential: NP

Location Address9 N CRANE AVESpencer, IN 47460-1507

Mailing AddressPo Box 1329Bloomington, IN 47402-1329 · (812) 353-5855 · Fax (812) 353-5867

Phone(812) 829-2237

Fax(812) 829-6342

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateJuly 28, 2011

✔ NPI 1508816182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71000346

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9 N CRANE AVE, Spencer, IN 47460

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Other Identifiers 3

Medicaid200202930AIN

Medicare PIN610500DIN

Medicare UPINS87789IN

Other Providers at the Same Location NPPES 5

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

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