WYLETTA PETTIT
NPI 1851867014
Peer Specialist in Wagoner, OK
- Individual
- Female
- Peer Specialist
About WYLETTA PETTIT
This page provides the complete NPI Profile along with additional information for Wyletta Pettit, a provider established in Wagoner, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1851867014 assigned on October 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1851867014 Verify this NPI
- Provider Name
- WYLETTA PETTIT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 607 N POLK AVE WAGONER, OK 74467
- Location Phone
- (918) 304-4371
- Mailing Address
- 607 N POLK AVE WAGONER, OK 74467
- Mailing Phone
- (918) 304-4371
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-15-2018
- Last Update Date
- 10-15-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851867014, enumerated as an "individual" on October 15, 2018.
The provider is located at 607 N POLK AVE WAGONER, OK 74467 and the phone number is (918) 304-4371.
Peer Specialist with taxonomy code 175T00000X.
