| Organization Name: | PETRIE GERIATRIC HEALTHCARE INC |
| NPI Number: | 1770727232 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLAIRE A PETRIE (DIRECTOR) |
| Mailing Address: | 1286 Fernando Cir Cantonment |
| State: | FL US |
| Postal Code: | 325335737 |
| Phone Number: | 8505161919 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2009 |
| NPI Last Update Date: | 04/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | ARNP1222292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |