Individual
BRENNA B BOHATEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 MEDICAL PARK BLVD, SUITE 200, PETERSBURG, VA 23805-9338
(804) 431-1100
(804) 862-1094
Mailing address
7202 GLEN FOREST DR, SUITE 200, RICHMOND, VA 23226-3781
(804) 676-2024
(804) 673-1796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170794
VA
Other
Enumeration date
04/11/2013
Last updated
09/15/2016
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