person
Travell Deneise Johnson-pettway, RN
Administrator Registered Nurse in Detroit, Michigan
NPI 1528792777

Travell Deneise Johnson-pettway is an Administrator Registered Nurse based in Lathrup Village, MI and is specialized in Administrator. Travell Deneise Johnson-pettway practices in Detroit, MI and has the professional credentials of RN. The NPI Number for Travell Deneise Johnson-pettway is 1528792777 and holds a License No. 4704202831 (Michigan).

The current practice location address for Travell Deneise Johnson-pettway is 4646 John R St, Detroit, MI and can be reached out via phone at 313-576-1000. You can also correspond with Travell Deneise Johnson-pettway through the mailing address at 18504 DOLORES AVE, LATHRUP VILLAGE, MI - 48076-2682 (mailing address contact number: 313-820-3449).

Location: 4646 John R St, Detroit, MI, 48076-2682
person
Provider Profile Details
NPI Number
1528792777
Provider Name
Travell Deneise Johnson-pettway
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4646 John R St, Detroit, MI, 48076-2682
Phone Number
313-576-1000
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-1000
Fax Number
person
Provider Business Mailing Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
License No.
4704202831 (Michigan)
Definition
Definition to come...
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