Provider Demographics
NPI:1811560832
Name:PETRELLI, GIANNA LYNN
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:LYNN
Last Name:PETRELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MUSIC SQ W APT 316
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5280
Mailing Address - Country:US
Mailing Address - Phone:708-362-9937
Mailing Address - Fax:
Practice Address - Street 1:70 MUSIC SQ W APT 316
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-5280
Practice Address - Country:US
Practice Address - Phone:708-362-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS