Tierra Pettway
NPI #1073491783 in Patchogue, New York
Provider Information
- NPI Number
- 1073491783
- Entity Type
- Individual
- Name
- Tierra Pettway
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 22, 2025
- Last Updated
- Aug 22, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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