MS. KRYSTALLYNN MARIE PETWAY
NPI 1407638927
Licensed Practical Nurse in Flint, MI

Q: What is Krystallynn Petway's NPI number?

The NPI number for Krystallynn Petway is 1407638927. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Q: What is Krystallynn Petway's specialty?

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

Active since October 18, 2023

3487 S LINDEN RD, FLINT, MI 48507(866) 498-3909 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Ms. Krystallynn Marie Petway NPPES

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

MS. KRYSTALLYNN MARIE PETWAY (NPI 1407638927) is an individual licensed practical nurse in Flint, Michigan, licensed in Michigan (4703128130) and active in the NPI registry since October 2023. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1407638927

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. KRYSTALLYNN MARIE PETWAY

Location Address3487 S LINDEN RDFlint, MI 48507-3025

Mailing Address1671 Christopher DrCanton, MI 48188-1774

Phone(866) 498-3909

Sole ProprietorYes

Enumeration DateOctober 18, 2023

NPPES CertifiedOctober 18, 2023

✔ NPI 1407638927 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 · 4703128130

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.

3487 S LINDEN RD, Flint, MI 48507

Open in Google Maps ↗

Secondary Practice Location 1

Location 11671 Christopher DrCanton, MI 48188-1774 · Phone (248) 974-4612

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MRS. RENEE ELAINE SINAY RN

Registered Nurse