TIERRA PETTWAY
Licensed Practical Nurse
Active
Individual
NPI: 1073491783
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 292164 (NY) |
Frequently Asked Questions
NPI 1073491783 is the National Provider Identifier for TIERRA PETTWAY, a Licensed Practical Nurse provider located in Patchogue, NY. This NPI was enumerated on August 22, 2025.
TIERRA PETTWAY practices at 53 ACADEMY ST, Patchogue, NY 11772.
Quick Facts
- NPI
- 1073491783
- Type
- Individual
- Enumerated
- Aug 22, 2025
- Last Updated
- Aug 22, 2025
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