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

MS. Alfreda Pettiway

Individual provider Licensed Practical Nurse · NPI 1083497705

MS. Alfreda Pettiway is a Licensed Practical Nurse in Lincoln Park, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

1321 Empire Ave
Lincoln Park, MI 48146-2048
Phone: (313) 736-7549
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 4703118497 (MI)

Record details

NPI number1083497705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address1321 Empire Ave, Lincoln Park, MI 48146-2048

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