person
Jared Petrick
Psychiatric/Mental Health Nurse Practitioner in Coeur D Alene, Idaho
NPI 1932114618

Jared Petrick is a Psychiatric/Mental Health Nurse Practitioner based in Coeur D Alene, ID and is specialized in Psychiatric/Mental Health. Jared Petrick practices in Coeur D Alene, ID. The NPI Number for Jared Petrick is 1932114618 and holds a License No. 357288-4408 (Idaho).

The current practice location address for Jared Petrick is 2003 Kootenai Health Way, Coeur D Alene, ID and can be reached out via phone at 208-625-4870 and via fax at 208-625-4878.

Location: 2003 Kootenai Health Way, Coeur D Alene, ID, 83814-6051
person
Provider Profile Details
NPI Number
1932114618
Provider Name
Jared Petrick
Credential
Provider Entity Type
Individual
Gender
Male
Address
2003 Kootenai Health Way, Coeur D Alene, ID, 83814-6051
Phone Number
208-625-4870
Fax Number
208-625-4878
Provider Enumeration Date
07/30/2006
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
2003 Kootenai Health Way
City
State
Zip
83814
Phone Number
208-625-4870
Fax Number
208-625-4878
person
Provider Business Mailing Address Details
Address
2003 Kootenai Health Way
City
State
Zip
83814
Phone Number
208-625-4870
Fax Number
208-625-4878
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
357288-4408 (Utah)
Definition
Definition to come...
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