Anna Lorie Pettrey, FNP-C
Nurse Practitioner, Family in Bastian, VA. Individual provider (NPI-1).
NPI number1831784750
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1831784750
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Anna Lorie Pettrey
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2021
- Certification date
- Feb 15, 2024
- Last updated
- Feb 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024181044 | VA | Yes |
| 207Q00000X | Family Medicine | 0024181044 | VA |
Practice location
12301 Grapefield RdBastian, VA 24314-4547
Phone 276-688-4331 · Fax 276-688-4336
Mailing address
12301 Grapefield RdBastian, VA 24314-4547
Phone 276-688-4331
Other practice locations
8494 S Scenic Hwy
Bland, VA 24315-5255
Bland, VA 24315-5255
Phone 276-688-0500
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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