LORINA PETTWAY
NPI 1326829730
Registered Nurse - Gerontology in Bridgeport, CT

Active since October 11, 2023
4200 PARK AVE, BRIDGEPORT, CT 06604(203) 396-1129 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lorina Pettway NPPES

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

LORINA PETTWAY (NPI 1326829730) is an individual gerontology provider in Bridgeport, Connecticut, licensed in Connecticut (10.174564) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1326829730
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameLORINA PETTWAY
Location Address4200 PARK AVEBridgeport, CT 06604-1049
Mailing Address594 Birmingham StBridgeport, CT 06606-3348
Sole ProprietorNo
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
NPI 1326829730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License Licensed in CT · 10.174564
4200 PARK AVE, Bridgeport, CT 06604

Other Providers at the Same Location NPPES 20

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

Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Skilled Nursing Facility
4200 PARK AVE
BRIDGEPORT, CT 06604
Physical Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Registered Nurse (Gerontology)
4200 PARK AVE
BRIDGEPORT, CT 06604
Physical Therapy Assistant
4200 PARK AVE
BRIDGEPORT, CT 06604
Occupational Therapist
4200 PARK AVE
BRIDGEPORT, CT 06604
Physical Therapist (Geriatrics)
4200 PARK AVE
BRIDGEPORT, CT 06604

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 Lorina Pettway's NPI number?

The NPI number for Lorina Pettway is 1326829730. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Lorina Pettway located?

Lorina Pettway practices at 4200 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 396-1129.

What is Lorina Pettway's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.

When was this NPI record last updated?

The NPPES record for Lorina Pettway was last updated on October 11, 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.