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RESHAWNA PETTY
NPI 1972864130
Licensed Practical Nurse in Buffalo, NY

Active since June 05, 2012
15 BRUNSWICK BLVD, BUFFALO, NY 14208(716) 931-5868 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reshawna Petty NPPES

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

RESHAWNA PETTY (NPI 1972864130) is an individual licensed practical nurse in Buffalo, New York, licensed in New York (309539-1) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1972864130
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRESHAWNA PETTY
Location Address15 BRUNSWICK BLVDBuffalo, NY 14208-1543
Mailing Address15 Brunswick BlvdBuffalo, NY 14208-1543 · (716) 931-5868
Phone(716) 931-5868
Sole ProprietorYes
Enumeration DateJune 5, 2012
✔ NPI 1972864130 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 · 309539-1
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.
15 BRUNSWICK BLVD, Buffalo, NY 14208
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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 Reshawna Petty's NPI number?

The NPI number for Reshawna Petty is 1972864130. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Reshawna Petty located?

Reshawna Petty practices at 15 Brunswick Blvd, Buffalo, NY 14208. The listed phone number is (716) 931-5868.

What is Reshawna Petty'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 Reshawna Petty was last updated on June 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.