Individual provider · Type 1 NPI

Samone Pettway

Licensed Practical Nurse · Waterbury, CT

NPI number 1144894478 Active

Practice location

855 Lakewood Rd
Waterbury, CT 06704-5408

Mailing address

492 East St Apt 13
Plainville, CT 06062-3272

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X40373 (CT)

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 1144894478

Samone Pettway's National Provider Identifier is 1144894478, issued on May 20, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waterbury, CT. The record was last updated on May 20, 2021.