Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREEANN MARIE PETRIE, PA-C
ActiveBREEANN MARIE PETRIE, PA-C is a Physician Assistant healthcare provider located in CHALLIS, Idaho. NPI 1235430059 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHALLIS, ID
Registration Details
- NPI Number
- 1235430059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2010 (15.721658511604 yrs)
- Last Updated
- Mar 21, 2022
- License
-
PA875 (ID)
Practice Information
- Address
-
431 E. MAIN ST. #994CHALLIS, ID, 832262713Browse ID providers · Browse ZIP 83226
- Phone
- 2088331313
- Fax
- 8338391195
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHALLIS, ID
| Name | Credential | NPI |
|---|---|---|
| STEPHEN MAX SMITH | PA-C | 1639448798 |
| MR. MATTHEW CHAD BANKS | PA-C | 1639443880 |
| JOSEPH W PETRIE | PA | 1851721401 |
| MILES ALAN HAEBERLE | PHYSICIAN ASSISTANT | 1710496997 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.