Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITTIE R PETTAWAY
ActiveMITTIE R PETTAWAY is a Foot & Ankle Surgery healthcare provider located in FORESTVILLE, Maryland. NPI 1518486620 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · FORESTVILLE, MD
Registration Details
- NPI Number
- 1518486620
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2017 (8.8929641922416 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
3014 LOGAN STFORESTVILLE, MD, 207472727Browse MD providers · Browse ZIP 20747
- Phone
- 3017894064
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in FORESTVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| LANESHA PERRY | CNA | 1477085306 |
| WINTER CLAIBORNE | — | 1629589874 |
| ERIC EVANS | — | 1689175770 |
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.