Dr. Yonique Petrece Petgrave
Pediatric Nephrologist
51 N Dunlap St Ste 400
Memphis
, Tennessee 38105-4625
Dr. Yonique Petrece Petgrave
Pediatric Nephrologist
51 N Dunlap St Ste 400
Memphis
, Tennessee 38105-4625
(901) 287-8693
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Yonique Petrece Petgrave
- 850 Poplar Ave Bldg 2
- Memphis, TN
- Zip : 38105-4607
- Phone : (901) 287-8693
Second Address
- Dr. Yonique Petrece Petgrave
- 51 N Dunlap St Ste 400
- Memphis, TN
- Zip : 38105-4625
- Phone : (901) 287-7337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | 60407 | TN |
National Provider Identifier
| NPI | 1235545849 |
|---|---|
| Provider Name | Dr. Yonique Petrece Petgrave |
| First Address | Memphis, TN 38105-4607 |
| Second Address | Memphis, TN 38105-4625 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2014 |
| Last Update Date | 31/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.