Lorina Pettway
Registered Nurse, Gerontology in Bridgeport, Connecticut
1326829730- Practice location
- 4200 Park Ave, Bridgeport, CT 06604-1049
- Phone
- 203-396-1129
- Fax
- —
- Last updated
- October 11, 2023
Lorina Pettway is a Registered Nurse, Gerontology based in Bridgeport, CT. Lorina Pettway practices in Bridgeport, CT. The NPI Number for Lorina Pettway is 1326829730 and holds a License No. 10.174564 (CT). The current practice location address for Lorina Pettway is 4200 Park Ave, Bridgeport, CT 06604-1049 and can be reached out via phone at 203-396-1129.
Provider Profile Details
- NPI Number
- 1326829730
- Provider Name
- Lorina Pettway
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4200 Park Ave, Bridgeport, CT 06604-1049
- Phone Number
- 203-396-1129
- Primary Taxonomy
- Registered Nurse, Gerontology · 163WG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 11, 2023
- Last Update Date
- October 11, 2023
- Certification Date
- October 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4200 Park Ave
Bridgeport, CT 06604-1049 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06604-1049
- Phone Number
- 203-396-1129
Provider Business Mailing Address Details
- Address
- 594 Birmingham St
Bridgeport, CT 06606-3348 - City
- Bridgeport
- State
- CT
- Zip
- 06606-3348
License Information
- License Number
- 10.174564
- License State
- CT
- Taxonomy
- Registered Nurse, Gerontology · 163WG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lorina Pettway?
The NPI number of Lorina Pettway is 1326829730. It was assigned on October 11, 2023 and is currently active in the NPPES registry.
What is the specialty of Lorina Pettway?
Lorina Pettway is registered under the primary taxonomy Registered Nurse, Gerontology (code 163WG0600X), licensed in CT under license number 10.174564.
Where does Lorina Pettway practice?
The practice location is 4200 Park Ave, Bridgeport, CT 06604-1049. The office can be reached at 203-396-1129 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326829730 directly on the NPPES registry website.