Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenna J. Petro, FNP

Individual provider Family Nurse Practitioner · NPI 1174851497

Brenna J. Petro, FNP is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2008, 18 years ago. Practices with North Idaho Dermatology Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2009
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2199 N Merrit Crk Loop
Coeur D Alene, ID 83814-4949
Phone: (208) 665-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN134782 (AZ)

Record details

NPI number1174851497
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 24, 2009
Last updated in NPPESJuly 27, 2023
Certification dateJuly 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice North Idaho Dermatology Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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