JANIS PETRIE ARNP NPI 1134283096

NPI Information

  • NPI: 1134283096
  • Provider Name: JANIS PETRIE, ARNP
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 48844 HIGHWAY 101
    BANDON, OR
    ZIP 97411
  • Phone: (541) 329-2078

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NPI Details

Janis Petrie, ARNP is a psychiatric/mental health registered nurse in Bandon, OR. Janis Petrie, ARNP NPI is 1134283096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

48844 HIGHWAY 101
BANDON, OR
ZIP 97411-232
Phone: (541) 329-2078

The enumeration date for this NPI number is 12/21/2006 and was last updated on 4/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse45275KANSASNo
2163W00000XRegistered Nurse1335053052KANSASNo
3163WC1500XRegistered NurseCommunity Health200440305RNOREGONNo
4363LF0000XNurse PractitionerFamily200450014NPOREGONNo
5364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health201070011CNS-PPOREGONNo
6163WP0808XRegistered NursePsychiatric/Mental Health74552KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R164226OTHEROREGONPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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