Individual provider · Type 1 NPI

Desiree Pettway, LPN

Licensed Practical Nurse · Cuyahoga Falls, OH

NPI number 1790540995 Active

Practice location

2061 23rd St
Cuyahoga Falls, OH 44223-1405

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.180202.MEDS.IV (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 1790540995

Desiree Pettway, LPN's National Provider Identifier is 1790540995, issued on Feb 16, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cuyahoga Falls, OH. The record was last updated on Feb 16, 2024.