MISS ANGELA MARIE PETTWAY (NPI# 1891944435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891944435 |
| Entity Type | Individual |
| Full Name | MISS ANGELA MARIE PETTWAY |
| Credential | RN |
| Practice Address |
700 24th St Fort Lee VA 23801-1716 |
| Practice Telephone | 8047349125 |
| Practice Fax Number | 8047349011 |
| Mailing Telephone | 8047349125 |
| Mailing Fax Number | 8047349011 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
0001204649 | VA | Nursing Service Providers |
| Street Address |
700 24TH ST |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448334 | Robert Stanley Brown Sr. | Psychiatry & Neurology | 700 24th St, Fort Lee, VA 23801-1716 | 2005-06-24 |
| 1306354196 | Raquel Bopp | Dietitian, Registered | 700 24th St, Fort Lee, VA 23801-1716 | 2018-01-16 |
| 1316495419 | Monica Jones | Psychologist | 700 24th St, Bldg 8130, Fort Lee, VA 23801-1716 | 2016-09-17 |
| 1316324445 | Cody J Cole | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2015-04-27 |
| 1598195174 | Michael Hurst | Physical Therapist | 700 24th St, Fort Lee, VA 23801-1716 | 2013-11-19 |
| 1114355542 | Zachary Marcus Leftwich | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2013-10-22 |
| 1235578857 | Elizabeth Ramona Brown | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2013-06-17 |
| 1881938793 | Melanee Davis | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2012-11-15 |
| 1871840793 | Jasmin Isabel Filpo | Optometrist | 700 24th St, Fort Lee, VA 23801-1716 | 2012-08-09 |
| 1912264359 | Pamela Annette Mcphearson | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1801854807 | Mack Conley O'quinn Jr. | Social Worker | 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 | 2006-05-02 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682770 | Angela Marizol Castillo | Registered Nurse | 2055 Center Ave Apt 9h, Fort Lee, NJ 07024-4923 | 2020-06-03 |
| 1417212663 | Robin Moloney | Registered Nurse | 7110 Skyline Dr, Fort Lee, NJ 07024-2224 | 2012-07-12 |
| 1114046661 | Kimberly Schoen | Registered Nurse | 700 24th St, Fort Lee, VA 23801-1716 | 2007-03-28 |
| 1306925193 | Celia Renee Murray | Registered Nurse | 700 24th St, Fort Lee, VA 23801-1716 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850433 | Dawn Haasnoot | Registered Nurse | 1618 Kempton Pl, Charlottesville, VA 22911-3579 | 2020-10-28 |
| 1811463714 | Pamela S Etheridge | Registered Nurse | 1701 James River Trl, Carrollton, VA 23314-3553 | 2018-10-17 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1528464724 | Nicole Dykes | Registered Nurse | 1230 Mill Iron Rd, Goodview, VA 24095-2985 | 2014-11-15 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1710034889 | Melba G Harbs | Registered Nurse | 18407 Beech Ln, Triangle, VA 22172 | 2007-01-04 |
| 1700405230 | Mindy Rene Prescott | Registered Nurse | 4035 Electric Rd Ste A, Roanoke, VA 24018-8449 | 2020-04-14 |
| 1407394364 | Janice Mckenzie | Registered Nurse | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2017-02-10 |
| 1013331743 | Glenton Atwell | Registered Nurse | 401 Carpenter Rd, Andrew Rader Us Army Health Clinic, Ft Myer, VA 22211-1009 | 2014-02-18 |
| 1285060186 | Janet Ann Cvrk | Registered Nurse | 401 Carpenter Rd, Rader Us Army Health Clinic, Fort Myer, VA 22211-1009 | 2013-09-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.