Individual provider · Type 1 NPI

Brienne Petcher, MD

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1790165504 Active

Practice location

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Call (813) 974-2201 Map

Other practice locations

  • 155 N Fresno St, Fresno, CA 93701-2302 · (559) 499-6518

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790165504

Brienne Petcher, MD's National Provider Identifier is 1790165504, issued on Jun 5, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Mar 1, 2024.