Tierra Pettway
Tierra Pettway is a Licensed Practical Nurse in Patchogue, New York. Licensed in New York. Registered with an NPI since 2025.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
53 Academy StPatchogue, NY 11772-3821
Phone: (516) 410-4896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 292164 (NY) |
|---|
Record details
| NPI number | 1073491783 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2025 |
| Last updated in NPPES | August 22, 2025 |
| Certification date | August 22, 2025 |
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