Petrie, Janis
Petrie, Janis is an sole proprietor health care provider with primary practice located at 48844 Highway 101 , Bandon OR 97411-8232. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Petrie, Janis can be contacted via phone (541) 329-2078.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 200440305RN | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200450014NP | Oregon |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 74552 | Kansas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 45275 | Kansas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 1335053052 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 201070011CNS-PP | Oregon |
Profile Details
| NPI number | 1134283096 |
|---|---|
| LBN Legal business name | Petrie, Janis |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Apr 3rd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134283096 | NPPES |
| Oregon | Other | R164226 | PTAN |
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