# JANIS PETRIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134283096
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1335053052 | KS | — |
| 163W00000X | Registered Nurse | 45275 | KS | — |
| 163WC1500X | Community Health Registered Nurse | 200440305RN | OR | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 74552 | KS | Yes |
| 363LF0000X | Family Nurse Practitioner | 200450014NP | OR | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | 201070011CNS-PP | OR | — |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 04/03/2016