P Praxis·MD
● Active Type 1 · Individual

Brenna J. Petro, FNP

Nurse Practitioner·Coeur D Alene, ID· NPI 1174851497 · Enumerated 2009 · 16 years on NPI
Petro is 1 of 79 nurse practitioner providers in Coeur D Alene and 1 of 1280 in Idaho.
NPI age
16 years
Enumerated 2009-11-24
Primary specialty
Nurse Practitioner
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-11Enumerated in NPPES
2009 2026

Where they practice

Practice location
2199 N Merrit Crk Loop
Coeur D Alene, ID 838144949
📞 2086657546
Mailing address
2199 N Merrit Crk Loop
Coeur D Alene, ID 838144949
📞 2086657546

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    AZ license #RN134782 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (AZ) 488480

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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