Petech, Kerrie L
Petech, Kerrie L is an individual health care provider with primary practice located at 1859 S Topaz Way Ste 100 , Meridian ID 83642-4401. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Petech, Kerrie L can be contacted via phone (208) 209-2432.Contact Information
Primary practice address
1859 S Topaz Way Ste 100
Meridian ID 83642-4401
Phone: (208) 209-2432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 60178019 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61405417 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 74724 | Idaho |
Profile Details
| NPI number | 1265414544 |
|---|---|
| LBN Legal business name | Petech, Kerrie L |
| Credentials | R.N. ARNP-CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 13th, 2023 - about 3 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.
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