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Contact Information

LATISHA M PETTWAY, CRNA
365 MONTAUK AVE
NEW LONDON, CT06320-4700
 Phone: 860-442-0711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for LATISHA M PETTWAY · (Female)

NPI Number 1336422377
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/26/2011
Last updated 07/13/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 4954
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    2800 MAIN ST
    BRIDGEPORT, CT 06606
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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