| Tierra Pettway, | |
|
53 Academy St, Patchogue, NY 11772-3821 | |
| (516) 410-4896 | |
| Not Available |
| Full Name | Tierra Pettway |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 53 Academy St, Patchogue, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073491783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 292164 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tierra Pettway, 53 Academy St, Patchogue, NY 11772-3821 Ph: (516) 410-4896 | Tierra Pettway, 53 Academy St, Patchogue, NY 11772-3821 Ph: (516) 410-4896 |
Gabrielle Berretta, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 56 Thorne St, Patchogue, NY 11772 Phone: 631-552-2149 | |
Christina Brunquell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10 E 4th St, Apt B, Patchogue, NY 11772 Phone: 631-433-0956 | |
Linda Overton, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 114 Rider Ave Apt 2, Patchogue, NY 11772 Phone: 163-157-5043 | |
Mrs. Kristine M Schaefer, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 473 Old North Ocean Ave, Patchogue, NY 11772 Phone: 631-512-3849 | |
Amber Backer, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Eimer St, Patchogue, NY 11772 Phone: 631-617-7377 | |
Dawn Marie Corrigan, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 59 Chestnut Ave, Patchogue, NY 11772 Phone: 631-475-0839 |