Individual
JANIS PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
48844 HIGHWAY 101, BANDON, OR 97411-8232
(541) 329-2078
Mailing address
48844 HIGHWAY 101, BANDON, OR 97411-8232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1335053052
KS
163W00000X
Registered Nurse
45275
KS
163WC1500X
Community Health Registered Nurse
200440305RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
74552
KS
363LF0000X
Family Nurse Practitioner
200450014NP
OR
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
201070011CNS-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R164226
PTAN
OR
Enumeration date
12/21/2006
Last updated
04/03/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us