Individual provider · Type 1 NPI

Diane Renee Petrie, F.N.P.-BC

Family Nurse Practitioner · Kansas City, MO

NPI number 1629325063 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Call (816) 234-3430 Map

Fax (816) 234-3421

Mailing address

504 Birchwood Ct
Raymore, MO 64083-8551

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	2007018736 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1629325063

Diane Renee Petrie, F.N.P.-BC's National Provider Identifier is 1629325063, issued on Aug 3, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, MO. The record was last updated on Aug 3, 2012.