TINESHA PETTIWAY

Nurse Practitioner - Gerontology

Active Individual
NPI: 1881375780

Practice Address

205 E MEDICAL CENTER BLVD # 100
Webster, TX 77598

Phone: (346) 800-6001

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes 1129705 (TX)
Nurse Practitioner - Adult Health 363LA2200X No 1129705 (TX)
Nurse Practitioner - Family 363LF0000X No 1129705 (TX)

Frequently Asked Questions

NPI 1881375780 is the National Provider Identifier for TINESHA PETTIWAY, a Nurse Practitioner - Gerontology provider located in Webster, TX. This NPI was enumerated on July 25, 2023.
TINESHA PETTIWAY practices at 205 E MEDICAL CENTER BLVD # 100, Webster, TX 77598.

Quick Facts

NPI
1881375780
Type
Individual
Enumerated
Jul 25, 2023
Last Updated
Oct 16, 2023

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