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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON SHANTILL PETTAWAY, LPN

Active

SHANNON SHANTILL PETTAWAY, LPN is a Licensed Practical Nurse healthcare provider located in TOLEDO, Ohio. NPI 1184989741 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · TOLEDO, OH

Registration Details

NPI Number
1184989741
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2012 (14.099344459728 yrs)
Last Updated
Jul 10, 2012
License
PN144565MIV (OH)

Practice Information

Address
1156 CORBIN RD
TOLEDO, OH, 436122321
Browse OH providers · Browse ZIP 43612
Phone
4194692719
Primary Specialty
Licensed Practical Nurse
164W00000X

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MS. KIMBERLY JEAN DETLEF L.P.N 1225004328
MONIQUE MARLA TRIPLETT LPN 1437115953
DENISE RENEE EARL LPN 1366400426
MR. JAMES GEORGE COOPER LPN 1588609713
MRS. TERESA IRENE HERMAN LPN 1962413039
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.