Individual provider · Type 1 NPI

Brenton Pettersson, NP

Pediatric Nurse Practitioner · Rochester, NY

NPI number 1831683184 Active

Practice location

601 Elmwood Ave
Rochester, NY 14642

Fax (585) 275-0707

Mailing address

601 Elmwood Ave Box 635
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382863 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1831683184

Brenton Pettersson, NP's National Provider Identifier is 1831683184, issued on Jun 20, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jun 30, 2023.