BROOKE ELIZABETH PETTINELLI NP NPI 1093023772

NPI Information

NPI: 1093023772
Provider Name: BROOKE ELIZABETH PETTINELLI, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1101 9TH ST N
DULUTH CLINIC-VIRGINIA
VIRGINIA, MN
ZIP 55792
Phone: (218) 741-0150
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Brooke Elizabeth Pettinelli, NP is a family nurse practitioner in Virginia, MN with 14 years of experience. Brooke Elizabeth Pettinelli, NP NPI is 1093023772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 9TH ST N
DULUTH CLINIC-VIRGINIA
VIRGINIA, MN
ZIP 55792-329
Phone: (218) 741-0150

The NPI 1093023772 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	R179144-4	MINNESOTA	No
2	363LF0000X	Nurse Practitioner	Family	R179144-4	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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