Provider Demographics
NPI:1316286347
Name:SVENSSON, BRETTE (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:BRETTE
Middle Name:
Last Name:SVENSSON
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:BRETTE
Other - Middle Name:
Other - Last Name:WINSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 WYLIE RD SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-7857
Mailing Address - Country:US
Mailing Address - Phone:770-427-8727
Mailing Address - Fax:
Practice Address - Street 1:900 WYLIE RD SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:770-427-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216279363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner