Breanna Tetreault, DO
Family Medicine in Berkeley, CA. Individual provider (NPI-1).
NPI number1164085536
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1164085536
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Breanna Tetreault
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2019
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20A20241 | CA | Yes |
Practice location
3100 San Pablo Ave Ste 310Berkeley, CA 94702-2498
Phone 510-985-5000 · Fax 510-985-5002
Mailing address
1450 Treat Blvd Ste 300Walnut Creek, CA 94597-2168
Phone 925-952-2828
Other practice locations
3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403-5781
Santa Rosa, CA 95403-5781
Phone 707-583-8800
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