Jared Petrick is a psychiatric/mental health nurse practitioner in Coeur D Alene, ID. Jared Petrick NPI is 1932114618. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 625-4870
Fax: (208) 625-4878
The NPI 1932114618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/30/2006 and was last updated on 10/6/2020.