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BRENNA B BOHATEC FNP
NPI 1346683182
Nurse Practitioner in Petersburg, VA

Active since April 11, 2013
210 MEDICAL PARK BLVD, SUITE 200, PETERSBURG, VA 23805(804) 431-1100(804) 862-1094 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2016, Jul 11, 2016 (2 updates tracked since 2016).

About Brenna B Bohatec Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENNA B BOHATEC FNP (NPI 1346683182) is an individual nurse practitioner in Petersburg, Virginia, licensed in Virginia (0024170794) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1346683182
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRENNA B BOHATECCredential: FNP
Location Address210 MEDICAL PARK BLVD, SUITE 200Petersburg, VA 23805-9338
Mailing Address7202 Glen Forest Dr, Suite 200Richmond, VA 23226-3781 · (804) 676-2024 · Fax (804) 673-1796
Phone(804) 431-1100
Fax(804) 862-1094
Sole ProprietorNo
Enumeration DateApril 11, 2013
Last NPPES UpdateSeptember 15, 20162 updates tracked since enumeration
✔ NPI 1346683182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024170794
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
210 MEDICAL PARK BLVD, Petersburg, VA 23805
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Other Identifiers 1

Medicare PINVV9536DVA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NISHANTH SUKUMARAN MD
Internal Medicine (Hematology & Oncology)
210 MEDICAL PARK BLVD, SUITE 200
PETERSBURG, VA 23805
Petersburg City (804) 431-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenna Bohatec's NPI number?

The NPI number for Brenna Bohatec is 1346683182. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Brenna Bohatec located?

Brenna Bohatec practices at 210 Medical Park Blvd Suite 200, Petersburg, VA 23805. The listed phone number is (804) 431-1100.

What is Brenna Bohatec's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Brenna Bohatec was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.