Provider Demographics
NPI:1952354631
Name:PETRILLI, FRANCESCA M (DNP, ARNP-BC)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:M
Last Name:PETRILLI
Suffix:
Gender:F
Credentials:DNP, ARNP-BC
Other - Prefix:
Other - First Name:FRANCESCA
Other - Middle Name:M
Other - Last Name:PETRILLI AND TREBNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP- BC
Mailing Address - Street 1:3109 KLEINPELL ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2167
Mailing Address - Country:US
Mailing Address - Phone:248-890-8926
Mailing Address - Fax:
Practice Address - Street 1:725 MASON ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2421
Practice Address - Country:US
Practice Address - Phone:810-496-5793
Practice Address - Fax:810-496-5798
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704236434363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q73582Medicare UPIN