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BREONA PETTEWAY
NPI 1225701303
Licensed Practical Nurse in Syracuse, NY

Active since July 26, 2021
206 ERIE ST, SYRACUSE, NY 13204(631) 636-1772 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2021, Jul 26, 2021 (2 updates tracked since 2021).

About Breona Petteway NPPES

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

BREONA PETTEWAY (NPI 1225701303) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (331074-01) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1225701303
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBREONA PETTEWAY
Location Address206 ERIE STSyracuse, NY 13204-1608
Mailing Address108 W Ellis StEast Syracuse, NY 13057-2527 · (631) 636-1772
Phone(631) 636-1772
Sole ProprietorNo
Enumeration DateJuly 26, 2021
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1225701303 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 NY · 331074-01
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.
206 ERIE ST, Syracuse, NY 13204
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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 Breona Petteway's NPI number?

The NPI number for Breona Petteway is 1225701303. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Breona Petteway located?

Breona Petteway practices at 206 Erie St, Syracuse, NY 13204. The listed phone number is (631) 636-1772.

What is Breona Petteway'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 Breona Petteway was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.