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MS. ALFREDA PETTIWAY
NPI 1083497705
Licensed Practical Nurse in Lincoln Park, MI

Active since August 16, 2023
1321 EMPIRE AVE, LINCOLN PARK, MI 48146(313) 736-7549 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Alfreda Pettiway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ALFREDA PETTIWAY (NPI 1083497705) is an individual licensed practical nurse in Lincoln Park, Michigan, licensed in Michigan (4703118497) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1083497705
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. ALFREDA PETTIWAY
Location Address1321 EMPIRE AVELincoln Park, MI 48146-2048
Mailing Address1321 Empire AveLincoln Park, MI 48146-2048 · (313) 736-7549
Phone(313) 736-7549
Sole ProprietorNo
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1083497705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703118497
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1321 EMPIRE AVE, Lincoln Park, MI 48146
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUG YOUR HEART HOMECARE
Home Health
1321 EMPIRE AVE
LINCOLN PARK, MI 48146
Wayne County (313) 736-7549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfreda Pettiway's NPI number?

The NPI number for Alfreda Pettiway is 1083497705. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Alfreda Pettiway located?

Alfreda Pettiway practices at 1321 Empire Ave, Lincoln Park, MI 48146. The listed phone number is (313) 736-7549.

What is Alfreda Pettiway's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Alfreda Pettiway was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.