Search › Idaho › Psychiatric/Mental Health Nurse Practitioner
Jared Petrick
NPI 1932114618 · on the registry since 2006
Practice
- Address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814 - Phone
- (208) 625-4870
- Fax
- (208) 625-4878
- Organisation at this address
- Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 235
Additional practice sites
- 90 E 200 N, Logan, UT
- 2199 W Ironwood Center Dr, Coeur D Alene, ID
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- Psychiatric/Mental Health Nurse Practitioner
- Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho