NPI 1144894478
Samone Pettway
Practice location
- Address
- 855 Lakewood Rd, Waterbury, CT 06704-5408
- Phone
- (860) 793-3500
- Mailing address
- 492 East St APT 13, Plainville, CT 06062-3272
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1144894478
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 May 2021
- Record last updated
- 20 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.