location
search-icon
person
Tinesha Shanta Pettiway
Family Nurse Practitioner in Webster, Texas
NPI 1881375780

Tinesha Shanta Pettiway is a Family Nurse Practitioner based in Stafford, TX and is specialized in Family. Tinesha Shanta Pettiway practices in Webster, TX. The NPI Number for Tinesha Shanta Pettiway is 1881375780 and holds a License No. 1129705 (Texas).

The current practice location address for Tinesha Shanta Pettiway is 205 E Medical Center Blvd # 100, Webster, TX and can be reached out via phone at 346-800-6001.

Location: 205 E Medical Center Blvd # 100, Webster, TX, 77477-3576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881375780
Provider Name
Tinesha Shanta Pettiway
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 E Medical Center Blvd # 100, Webster, TX, 77477-3576
Phone Number
346-800-6001
Fax Number
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 E Medical Center Blvd # 100
City
Webster
State
Texas
Zip
77598-4376
Phone Number
346-800-6001
Fax Number
person
Provider Business Mailing Address Details
Address
205 E Medical Center Blvd # 100
City
Webster
State
Texas
Zip
77598-4376
Phone Number
346-800-6001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
1129705 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1129705 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
1129705 (Texas)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.