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EBONY PETRUS
NPI 1609299346
Licensed Practical Nurse in Bronx, NY

Active since January 31, 2014
1140 COLGATE AVE, 3C, BRONX, NY 10472(917) 971-1611 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebony Petrus NPPES

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

EBONY PETRUS (NPI 1609299346) is an individual licensed practical nurse in Bronx, New York, licensed in New York (316986) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1609299346
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEBONY PETRUS
Location Address1140 COLGATE AVE, 3CBronx, NY 10472-3172
Mailing Address1140 Colgate Ave, 3cBronx, NY 10472-3172 · (917) 971-1611
Phone(917) 971-1611
Sole ProprietorYes
Enumeration DateJanuary 31, 2014
✔ NPI 1609299346 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 · 316986
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.
1140 COLGATE AVE, Bronx, NY 10472
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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 Ebony Petrus's NPI number?

The NPI number for Ebony Petrus is 1609299346. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Ebony Petrus located?

Ebony Petrus practices at 1140 Colgate Ave 3C, Bronx, NY 10472. The listed phone number is (917) 971-1611.

What is Ebony Petrus'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 Ebony Petrus was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.