Healthcare Provider Details

I. General information

NPI: 1255660684
Provider Name (Legal Business Name): SCHREE A PETTIGREW NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2343 PURCHASE ST
NEW BEDFORD MA
02746-1555
US

IV. Provider business mailing address

10 JOHNSON DR
NORTON MA
02766-2345
US

V. Phone/Fax

Practice location:
  • Phone: 781-436-3352
  • Fax: 781-436-3390
Mailing address:
  • Phone: 508-360-1313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN253721
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: