Search › Arkansas › 133V00000X
Mary Pettit, RD LD
NPI 1801054747 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2200 Bruce St. Ste 101
Conway, AR 72034 - Phone
- (501) 470-7457
- Fax
- (501) 504-2105
- Organisation at this address
- University Of Central Arkansas
University Of Central ArkansasInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas