MS. Denisha L Pettway
NPI #1356038905 in New Haven, Connecticut
Provider Information
- NPI Number
- 1356038905
- Entity Type
- Individual
- Name
- MS. Denisha L Pettway
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Apr 21, 2023
- Last Updated
- Jun 15, 2023
Practice Location
- Address
- 397 EASTERN ST APT B
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06513-2369
- Phone
- (203) 843-1059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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