Monique T Pettway
Registered Nurse in Stratford, Connecticut
1770408700- Practice location
- 259 Light St, Stratford, CT 06614-5233
- Phone
- 203-212-7810
- Fax
- —
- Last updated
- August 11, 2026
Monique Tyshae Pettway is a Registered Nurse based in Stratford, CT. Monique Tyshae Pettway practices in Stratford, CT. The NPI Number for Monique Tyshae Pettway is 1770408700 and holds a License No. 141436 (CT). The current practice location address for Monique Tyshae Pettway is 259 Light St, Stratford, CT 06614-5233 and can be reached out via phone at 203-212-7810.
Provider Profile Details
- NPI Number
- 1770408700
- Provider Name
- Monique Tyshae Pettway
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 259 Light St, Stratford, CT 06614-5233
- Phone Number
- 203-212-7810
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 11, 2026
- Last Update Date
- August 11, 2026
- Certification Date
- August 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 259 Light St
Stratford, CT 06614-5233 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-5233
- Phone Number
- 203-212-7810
Provider Business Mailing Address Details
- Address
- 259 Light St
Stratford, CT 06614-5233 - City
- Stratford
- State
- CT
- Zip
- 06614-5233
- Fax Number
- 203-212-7810
License Information
- License Number
- 141436
- License State
- CT
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Stratford, CT
View all Registered Nurses in Stratford →Frequently Asked Questions
What is the NPI number of Monique T Pettway?
The NPI number of Monique T Pettway is 1770408700. It was assigned on August 11, 2026 and is currently active in the NPPES registry.
What is the specialty of Monique T Pettway?
Monique T Pettway is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in CT under license number 141436.
Where does Monique T Pettway practice?
The practice location is 259 Light St, Stratford, CT 06614-5233. The office can be reached at 203-212-7810 (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 1770408700 directly on the NPPES registry website.