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

MS. Denisha L Pettway

Individual provider Gerontology Nurse Practitioner · NPI 1356038905

MS. Denisha L Pettway is a Gerontology Nurse Practitioner in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2023

Practice location Address checks out

397 Eastern St Apt B
New Haven, CT 06513-2369
Phone: (203) 843-1059
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11964 (CT)

Record details

NPI number1356038905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

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