Jared Petrick in Coeur D Alene - Psychiatric/mental Health
Jared Petrick - NPI 1932114618
Jared Petrick is a Psychiatric/mental Health in Coeur D Alene, Idaho. Jared Petrick practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Jared Petrick is 1932114618. The last update date is 2020-10-06.
Jared Petrick's current location address is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can contact this provider via phone number 2086255059 and fax number 2086255731. The mailing address for Jared Petrick is 2003 Kootenai Health Way, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared Petrick |
|---|---|
| Address | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
| Phone Number | 2086255059 |
| Fax Number | 2086255731 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1932114618 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 2003 Kootenai Health Way |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838146051 |
| Phone Number | 2086255059 |
| Fax Number | 2086255731 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 357288-4408 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jared Petrick?
The Jared Petrick has been issued the NPI (National Provider Identifier) 1932114618 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jared Petrick's facilities are geographically located?
The facilities of Jared Petrick are physically situated at the following location: 2003 Kootenai Health Way, Coeur D Alene, ID, 838146051.
What is Jared Petrick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jared Petrick is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932114618 to Jared Petrick?
The Centers for Medicare & Medicaid Services assigned the 1932114618 to Jared Petrick on 2006-07-30.
When was the information related to Jared Petrick most recently updated or refreshed?
The details pertaining to the Jared Petrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-06.
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