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NPI Code Detail

MEDICARE: ARIEANA PETTAWAY PETTAWAY

MEDICARE: ARIEANA PETTAWAY PETTAWAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1134087950
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEANA PETTAWAY PETTAWAY
Provider Business Mailing Address
First Line : 3450 W CENTRAL AVE STE 126
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1421
Country : US
Telephone Number : 419-531-2408
Fax Number :
Provider Business Practice Location Address
First Line : 3450 W CENTRAL AVE STE 126
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1421
Country : US
Telephone Number : 419-531-2408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

Similar Medicare Providers

1568329019 — NIA N PETTAWAY
Practice Location Address:
3450 W CENTRAL AVE STE 126
TOLEDO, OH
43606-1421
Practice Phone: 419-531-2408
Practice Fax:
1821955261 — BRIANNA SPENCER
Practice Location Address:
3450 W CENTRAL AVE STE 126
TOLEDO, OH
43606-1421
Practice Phone: 419-531-2408
Practice Fax:
1154288348 — MAURICE MCNAIR JR.
Practice Location Address:
3450 W CENTRAL AVE STE 126
TOLEDO, OH
43606-1421
Practice Phone: 419-531-2408
Practice Fax:
1932844891 — ERIC WORTHEY QMHS
Practice Location Address:
3450 W CENTRAL AVE STE 126
TOLEDO, OH
43606-1421
Practice Phone: 419-531-2408
Practice Fax:
1619834611 — JOSIAH J BROWN
Practice Location Address:
3450 W CENTRAL AVE STE 126
TOLEDO, OH
43606-1421
Practice Phone: 419-531-2408
Practice Fax:
1740524826 — DR. NABEEL M BOURAWI D.C.
Practice Location Address:
3450 W CENTRAL AVE STE 136
TOLEDO, OH
43606-1421
Practice Phone: 419-536-2222
Practice Fax: 419-536-9222

Directions to “ ARIEANA PETTAWAY PETTAWAY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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