Individual provider · Type 1 NPI

Deo M. Peppersack, NP

Family Nurse Practitioner · Nampa, ID

NPI number 1770538811 Active

Practice location

217 W Georgia Ave Ste 120
Nampa, ID 83686-6812

Fax (208) 498-1761

Mailing address

217 W. Georgia Ave. Ste 120
Nampa, ID 83686-2856

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNP656A (ID)
Family Nurse Practitioner Primary 363LF0000XNP656A (ID)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNP656A (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1770538811

Deo M. Peppersack, NP's National Provider Identifier is 1770538811, issued on May 24, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nampa, ID. The record was last updated on Mar 18, 2016.