Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Petrus

Individual provider Licensed Practical Nurse · NPI 1609299346

Ebony Petrus is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

1140 Colgate Ave 3C
Bronx, NY 10472-3172
Phone: (917) 971-1611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 316986 (NY)

Record details

NPI number1609299346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2014
Last updated in NPPESJanuary 31, 2014

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