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Tina Marie Pettway, LPN
Licensed Practical Nurse in Huntsville, Alabama
NPI 1376043174

Tina Marie Pettway is a Licensed Practical Nurse based in Harvest, AL. Tina Marie Pettway practices in Huntsville, AL and has the professional credentials of LPN. The NPI Number for Tina Marie Pettway is 1376043174 and holds a License No. 2-065334 (Alabama).

The current practice location address for Tina Marie Pettway is 4040 Memorial Pkwy Sw, Huntsville, AL and can be reached out via phone at 256-533-1970 and via fax at 256-705-6477.

Location: 4040 Memorial Pkwy Sw, Huntsville, AL, 35749-9339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376043174
Provider Name
Tina Marie Pettway
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4040 Memorial Pkwy Sw, Huntsville, AL, 35749-9339
Phone Number
256-533-1970
Fax Number
256-705-6477
Provider Enumeration Date
02/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330000014 05 AL
institution
Provider Business Practice Location Address Details
Address
4040 Memorial Pkwy Sw
City
Huntsville
State
Alabama
Zip
35802-4364
Phone Number
256-533-1970
Fax Number
256-705-6477
person
Provider Business Mailing Address Details
Address
4040 Memorial Pkwy Sw
City
Huntsville
State
Alabama
Zip
35802-4364
Phone Number
256-533-1970
Fax Number
256-705-6477
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2-065334 (Alabama)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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