Individual provider · Type 1 NPI
Kimyata Latrice Pettaway
Registered Nurse · Toledo, OH
Practice location
2005 Ashland Ave
Toledo, OH 43620-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN.446147 (OH) |
| Registered Nurse Primary | 163W00000X | RN.446147 (OH) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1093213738
Kimyata Latrice Pettaway's National Provider Identifier is 1093213738, issued on Jan 29, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Toledo, OH. The record was last updated on May 2, 2023.