Individual
MS. DENISHA L PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
397 EASTERN ST APT B, NEW HAVEN, CT 06513-2369
(203) 843-1059
Mailing address
397 EASTERN ST APT B, NEW HAVEN, CT 06513-2369
(203) 843-1059
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11964
CT
Other
Enumeration date
04/21/2023
Last updated
06/15/2023
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