Provider Profile

Tierra Pettway

Unclaimed Profile

About Tierra Pettway

Tierra Pettway is a licensed practical nurse based in Patchogue, NY. The provider's National Provider Identifier (NPI) is 1073491783.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 292164As reported
NPINational Provider Identifier
1073491783Issued 2025

As reported to the NPI registry ↗

Common questions

What does Tierra Pettway specialize in?

Tierra Pettway is a practical nurse in Patchogue, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Licensed Practical Nurse”.

NPI registry

Where is Tierra Pettway located?

Tierra Pettway is listed at 53 Academy St, Patchogue, NY 11772. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Tierra Pettway's phone number?

The number on file is (516) 410-4896. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Tierra Pettway?

Tierra Pettway's National Provider Identifier is 1073491783. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Tierra Pettway have?

Tierra Pettway has 1+ years experience. Registered with an NPI since 2025. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Tierra Pettway's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Tierra Pettway. If this is you, claiming it is free.

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