Individual
MRS. LATISHA MONIQUE PETTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
30 AUSTIN ST, NEW HAVEN, CT 06515-1236
(203) 387-7163
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4954
CT
Other
Enumeration date
09/26/2011
Last updated
07/13/2025
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