Individual provider · Type 1 NPI

Alfreda Pettiway

Licensed Practical Nurse · Lincoln Park, MI

NPI number 1083497705 Active

Practice location

1321 Empire Ave
Lincoln Park, MI 48146-2048

Call (313) 736-7549 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703118497 (MI)

Licensed Practical Nurse: 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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About NPI 1083497705

Alfreda Pettiway's National Provider Identifier is 1083497705, issued on Aug 16, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lincoln Park, MI. The record was last updated on Aug 16, 2023.