MICHELLE SUZANNE PETTY LPN
NPI 1801302690
Licensed Practical Nurse in Ontario, OH

Q: What is Michelle Petty's NPI number?

The NPI number for Michelle Petty is 1801302690. It was assigned to this individual provider in the NPPES registry on December 16, 2017.

Q: What is Michelle Petty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Petty was last updated on December 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 16, 2017

95 S IRELAND BLVD, ONTARIO, OH 44906(863) 677-4472 Get Directions Write a Review

NPPES record last updated: December 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michelle Suzanne Petty Lpn NPPES

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

MICHELLE SUZANNE PETTY LPN (NPI 1801302690) is an individual licensed practical nurse in Ontario, Ohio, licensed in Ohio (167093) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1801302690

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMICHELLE SUZANNE PETTYCredential: LPN

Location Address95 S IRELAND BLVDOntario, OH 44906-2220

Mailing Address95 S Ireland BlvdOntario, OH 44906-2220 · (863) 677-4472

Phone(863) 677-4472

Sole ProprietorYes

Enumeration DateDecember 16, 2017

✔ NPI 1801302690 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 OH · 167093

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.

95 S IRELAND BLVD, Ontario, OH 44906

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Michelle Petty's NPI number?

The NPI number for Michelle Petty is 1801302690. It was assigned to this individual provider in the NPPES registry on December 16, 2017.

Where is Michelle Petty located?

Michelle Petty practices at 95 S Ireland Blvd, Ontario, OH 44906. The listed phone number is (863) 677-4472.

What is Michelle Petty'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 Michelle Petty was last updated on December 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.