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

MS. Krystallynn Marie Petway

Individual provider Licensed Practical Nurse · NPI 1407638927

MS. Krystallynn Marie Petway is a Licensed Practical Nurse in Flint, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

3487 S Linden Rd
Flint, MI 48507-3025
Phone: (866) 498-3909
Show map & directions

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

Additional practice locations (1)

  • 1671 Christopher Dr, Canton, MI 48188-1774 — (248) 974-4612

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703128130 (MI)

Record details

NPI number1407638927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

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