Brenna J Petro (NPI# 1174851497, PAC ID# 3577606078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174851497 |
| PAC ID by PECOS | 3577606078 |
| Professional Enrollment ID | I20100205000439 |
| Full Name | Brenna J Petro |
| Organization Legal Name | DERMATOLOGY AND PLASTIC SURGERY OF ARIZONA LLC |
| Address |
150 S Coronado Dr Suite 110 Sierra Vista AZ 85635-6352 |
| Phone Number | 5204581787 |
| Gender | F |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820225238 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 150 S Coronado Dr, Suite 110, Sierra Vista, AZ 85635-6352 | 5204581787 | DERMATOLOGY AND PLASTIC SURGERY OF ARIZONA LLC |
| Organization Legal Name | DERMATOLOGY AND PLASTIC SURGERY OF ARIZONA LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle L Koski | Physician Assistant | Dermatology and Plastic Surgery of Arizona LLC | 165 El Camino Real, Sierra Vista, Sierra Vista, AZ 85635-2807 |
| Geneva E Daneker | Nurse Practitioner | Dermatology and Plastic Surgery of Arizona LLC | 698 E Wetmore Rd, Suite 310, Tucson, AZ 85705-1752 |
| Jamie Michelle Moenster | Plastic and Reconstructive Surgery | Dermatology and Plastic Surgery of Arizona LLC | 698 E Wetmore Rd, Suite 310, Tucson, AZ 85705-1752 |
| Christopher William Weyer | Dermatology | Dermatology and Plastic Surgery of Arizona LLC | 698 E Wetmore Rd, Suite 310, Tucson, AZ 85705-1752 |
| Street Address |
150 S CORONADO DR SUITE 110 |
| City | SIERRA VISTA |
| State | AZ |
| Zip | 85635-6352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly B Smith | Chiropractic | 2123 S Hwy 92, Sierra Vista, AZ 85635 | |
| Lincoln J Daynes | Optometry | 400 W Fry Blvd, Suite 9, Sierra Vista, AZ 85635-1760 | |
| Matthew Robert Genz | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Louise Nosanchuck | Family Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Everett R Castle | Emergency Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Jason David Steinberg | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| James Garet Goodman | Chiropractic | 222 E Fry Blvd, Sierra Vista, AZ 85635-1817 | |
| Benjamin K Sarsah | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Purba Biswas | Internal Medicine | 629 N Hwy 90, Sierra Vista, AZ 85635-2257 | |
| Mohammed A J Sikder | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Find all physicians in zip 85635 | |||
| City | SIERRA VISTA |
| Zip Code | 85635 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SIERRA VISTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brenna J Petro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.