Nicole Theodora Pettway, LPN - Detroit, MI

Nicole Theodora Pettway, LPN

Licensed Practical Nurse in Detroit, Michigan

NPI 1891091773

Nicole Theodora Pettway is a Licensed Practical Nurse based in Detroit, MI. Nicole Theodora Pettway practices in Detroit, MI and has the professional credentials of LPN. The NPI Number for Nicole Theodora Pettway is 1891091773 and holds a License No. 4703101683 (Michigan).

The current practice location address for Nicole Theodora Pettway is 20201 Asbury Park St, Detroit, MI and can be reached out via phone at 313-826-4449.

Location: 20201 Asbury Park St, Detroit, MI, 48235-2102

NPI Number

1891091773

Provider Name

Nicole Theodora Pettway

Credential

LPN

Provider Entity Type

Individual

Gender

Female

Address

20201 Asbury Park St, Detroit, MI, 48235-2102

Phone Number

313-826-4449

Fax Number

Provider Enumeration Date

02/10/2011

Last Update Date

03/09/2024

Address

20201 Asbury Park St

City

Detroit

State

Michigan

Zip

48235

Phone Number

313-826-4449

Fax Number

Address

20201 Asbury Park St

City

Detroit

State

Michigan

Zip

48235

Phone Number

313-826-4449

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

4703101683 (Michigan)

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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