Individual provider · Type 1 NPI

Jared Petrick

Psychiatric/Mental Health Nurse Practitioner · Coeur D Alene, ID

NPI number 1932114618 Active

Practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814

Call (208) 625-4870 Map

Fax (208) 625-4878

Other practice locations

  • 90 E 200 N, Logan, UT 84321-0689 · (435) 752-0570
  • 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 · (208) 625-4870

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X357288-4408 (UT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNP60612 (ID)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1932114618

Jared Petrick's National Provider Identifier is 1932114618, issued on Jul 30, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 1, 2024.