Individual provider · Type 1 NPI
Susan M. Derivas, CNP
Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI number
1851493829
Active
Practice location
4055 E Blueberry St
Meridian, ID 83642-8261
Fax (208) 647-5008
Other practice locations
- 5700 Harper Dr NE Ste 210-4, Albuquerque, NM 87109-3573 · (208) 775-7418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 64266 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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- Hannah Dyer, APRNPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1043192578
- Rebekah M. Svadlenka, NPPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1063003895
- Ashley Lorene Fielding, APRNPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1073310215
- Megan Lee Brock, PMNHPPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1083357651
- Patricia Diane Hensel, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1114880168
- Rebekah Danielle Nation, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1134497464
About NPI 1851493829
Susan M. Derivas, CNP's National Provider Identifier is 1851493829, issued on Sep 1, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on Feb 7, 2024.