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Nicole Pettway, LPN
NPI 1891091773 · Licensed Practical Nurse · Detroit, MI
Nicole Pettway, LPN is a Licensed Practical Nurse provider in Detroit, MI (NPI 1891091773).
Provider details
- NPI number
- 1891091773
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4703101683 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20201 Asbury Park St
Detroit, MI 48235
Phone: (313) 826-4449
Street-level locationGet directions
Mailing address
20201 Asbury Park
Detroit, MI 48235-2102
Registry dates
- Enumerated
- 2011-02-10
- Last updated
- 2011-02-10
Frequently asked questions
- What is Nicole Pettway's NPI number?
- Nicole Pettway's National Provider Identifier (NPI) is 1891091773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Pettway's specialty?
- Nicole Pettway is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Nicole Pettway located?
- Nicole Pettway's practice location on file with NPPES is 20201 Asbury Park St, Detroit, MI 48235.
- What is Nicole Pettway's phone number?
- The practice phone number listed in the NPPES registry for Nicole Pettway is (313) 826-4449.
- Is Nicole Pettway's NPI active?
- Yes — Nicole Pettway's NPI (1891091773) is active in the NPPES registry as of the last update on 2011-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.