Individual
BROOKE ELIZABETH PETTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 9TH ST N, DULUTH CLINIC-VIRGINIA, VIRGINIA, MN 55792-2329
(218) 741-0150
Mailing address
1101 9TH ST N, DULUTH CLINIC-VIRGINIA, VIRGINIA, MN 55792-2329
(218) 741-0150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R179144-4
MN
363LG0600X
Gerontology Nurse Practitioner
R179144-4
MN
Other
Enumeration date
09/16/2010
Last updated
09/19/2016
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