National Provider Identifier
Brenton Pettersson, NP
Brenton Pettersson, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-5083.
Profile Overview
- NPI
- 1831683184
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- June 20, 2018
- Last Updated
- June 30, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642
Phone: (585) 275-5083
Mailing Address
- 601 Elmwood Ave Box 635
- Rochester, NY 14642-0001
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Endpoints
- bpettersson75865@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1831683184
- Entity Type
- Individual
- Last Name
- Pettersson
- First Name
- Brenton
- Credential
- NP
- Mailing Street Address
- 601 Elmwood Ave Box 635
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5083
- Mailing Fax
- (585) 275-0707
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642
- Practice Country
- US
- Practice Phone
- (585) 275-5083
- Practice Fax
- (585) 275-0707
- Enumeration Date
- June 20, 2018
- Last Updated
- June 30, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)