DESIREE PETTWAY LPN
NPI 1790540995
Licensed Practical Nurse in Cuyahoga Falls, OH

Q: What is Desiree Pettway's NPI number?

The NPI number for Desiree Pettway is 1790540995. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Q: What is Desiree Pettway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Desiree Pettway was last updated on February 16, 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.

Active since February 16, 2024

2061 23RD ST, CUYAHOGA FALLS, OH 44223(216) 600-3090 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Desiree Pettway Lpn NPPES

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

DESIREE PETTWAY LPN (NPI 1790540995) is an individual licensed practical nurse in Cuyahoga Falls, Ohio, licensed in Ohio (LPN.180202.MEDS.IV) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1790540995

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDESIREE PETTWAYCredential: LPN

Location Address2061 23RD STCuyahoga Falls, OH 44223-1405

Mailing Address2061 23rd StCuyahoga Falls, OH 44223-1405 · (216) 600-3090

Phone(216) 600-3090

Sole ProprietorYes

Enumeration DateFebruary 16, 2024

NPPES CertifiedFebruary 16, 2024

✔ NPI 1790540995 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 OH · LPN.180202.MEDS.IV

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.

2061 23RD ST, Cuyahoga Falls, OH 44223

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Other Providers at the Same Location NPPES

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

JOSEPHINE LONGMIRE

Home Health

2061 23RD ST
CUYAHOGA FALLS, OH 44223

Summit County (330) 690-1760

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 Desiree Pettway's NPI number?

The NPI number for Desiree Pettway is 1790540995. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Desiree Pettway located?

Desiree Pettway practices at 2061 23rd St, Cuyahoga Falls, OH 44223. The listed phone number is (216) 600-3090.

What is Desiree Pettway'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 Desiree Pettway was last updated on February 16, 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.