person
Canivory Pettiway, NP
Family Nurse Practitioner in Albany, New York
NPI 1033846878

Canivory Pettiway is a Family Nurse Practitioner based in Rochester, NY and is specialized in Family. Canivory Pettiway practices in Albany, NY and has the professional credentials of NP. The NPI Number for Canivory Pettiway is 1033846878 and holds a License No. 349914 (New York).

The current practice location address for Canivory Pettiway is 855 Central Ave, Albany, NY and can be reached out via phone at 518-434-5678.

Location: 855 Central Ave, Albany, NY, 14605-2929
person
Provider Profile Details
NPI Number
1033846878
Provider Name
Canivory Pettiway
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
855 Central Ave, Albany, NY, 14605-2929
Phone Number
518-434-5678
Fax Number
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
855 Central Ave
City
State
Zip
12206-1513
Phone Number
518-434-5678
Fax Number
person
Provider Business Mailing Address Details
Address
855 Central Ave
City
State
Zip
12206-1513
Phone Number
518-434-5678
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
349914 (New York)
Definition
Definition to come...
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