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BRITTIANEE PETTAWAY
NPI 1184298440
Licensed Practical Nurse in Gibraltar, MI

Active since May 19, 2021
28986 SUGAR ISLAND CT, GIBRALTAR, MI 48173(248) 929-4645 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, May 19, 2021 (2 updates tracked since 2021).

About Brittianee Pettaway NPPES

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

BRITTIANEE PETTAWAY (NPI 1184298440) is an individual licensed practical nurse in Gibraltar, Michigan, licensed in Michigan (4703122569) and active in the NPI registry since May 2021. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1184298440
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRITTIANEE PETTAWAY
Location Address28986 SUGAR ISLAND CTGibraltar, MI 48173-9578
Mailing Address28986 Sugar Island CtGibraltar, MI 48173-9578 · (248) 929-4645
Phone(248) 929-4645
Sole ProprietorYes
Enumeration DateMay 19, 2021
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1184298440 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 · 4703122569
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.
28986 SUGAR ISLAND CT, Gibraltar, MI 48173
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Secondary Practice Location 1

Location 18035 Westwood StDetroit, MI 48228-3366 · Phone (248) 929-4645

Other Providers at the Same Location NPPES 2

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

MIBELL HOME HEALTH CARE AGENCY LLC
Home Health
28986 SUGAR ISLAND CT
GIBRALTAR, MI 48173
Wayne County (248) 929-4645
MIBELL HOME HEALTH CARE AGENCY LLC
Licensed Practical Nurse
28986 SUGAR ISLAND CT
GIBRALTAR, MI 48173
Wayne County (248) 929-4645

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 Brittianee Pettaway's NPI number?

The NPI number for Brittianee Pettaway is 1184298440. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Brittianee Pettaway located?

Brittianee Pettaway practices at 28986 Sugar Island Ct, Gibraltar, MI 48173. The listed phone number is (248) 929-4645.

What is Brittianee Pettaway'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 Brittianee Pettaway was last updated on April 8, 2024. 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.