NPI
Stacy Lynn Pettry
NPI 1952908824
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2020-10-05
- Last updated
- 2021-02-28
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Specialties
Licenses
- License VA
- 5086
Location
- Practice location
- 242 Bald Rock Rd
- City
- Verona VA
- Postal code
- 24482-2825
- Phone
- (972) 849-9698
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Verona, VA. 109 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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