Individual
JENNIFER PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 E QUAIL RUN RD, EMMETT, ID 83617-5059
(208) 365-7131
(208) 365-4464
Mailing address
2001 E QUAIL RUN RD, EMMETT, ID 83617-5059
(208) 365-7131
(208) 365-4464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
101703
MN
207Q00000X
Family Medicine Physician
Primary
M7802
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-20325
MEDICA CHOICE
MN
05
—
0591172
—
IA
01
—
1043689
PREFERRED ONE
MN
01
—
136314
UCARE
MN
01
—
20008330
PTAN
ID
01
—
2349340
ARAZ
MT
05
—
317180900
—
MN
05
—
34623200
—
WI
05
—
8051964
—
ID
01
—
HP51751
HEALTH PARTNERS
MN
Enumeration date
10/24/2006
Last updated
02/23/2016
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