Individual provider · Type 1 NPI

Shannon Shantill Pettaway, LPN

Licensed Practical Nurse · Toledo, OH

NPI number 1184989741 Active

Practice location

1156 Corbin Rd
Toledo, OH 43612-2321

Call (419) 469-2719 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN144565MIV (OH)

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 1184989741

Shannon Shantill Pettaway, LPN's National Provider Identifier is 1184989741, issued on Jul 10, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Toledo, OH. The record was last updated on Jul 10, 2012.