Mindy Sue Pettenger
Peer Specialist · Freeport, IL
NPI number
1386214559
Practice location
421 W Exchange StFreeport, IL 61032-4008
- Phone
- (815) 599-7300
NPI record
- NPI
- 1386214559
- Entity type
- Individual (Type 1)
- Enumeration date
- June 29, 2021
- Last updated
- June 29, 2021
- Certified
- June 29, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
PO Box 813Freeport, IL 61032-0813
About Mindy Pettenger
Mindy Sue Pettenger is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 421 W Exchange St, Freeport, IL 61032-4008. The NPI number 1386214559 was assigned on June 29, 2021 and the record was last updated on June 29, 2021.
Frequently asked questions
What is the NPI number of Mindy Sue Pettenger?
The NPI number is 1386214559.
What is the phone number of Mindy Pettenger?
The phone number listed for the practice location is (815) 599-7300.
Where is Mindy Pettenger located?
421 W Exchange St, Freeport, IL 61032-4008.
What is the taxonomy code for Mindy Pettenger?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.