Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN M DERIVAS, CNP
Active Sole ProprietorPsychiatric/Mental Health Nurse Practitioner · MERIDIAN, ID
Registration Details
- NPI Number
- 1851493829
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2006 (19.635850289478 yrs)
- Last Updated
- Feb 7, 2024
- License
-
64266 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4055 E BLUEBERRY STMERIDIAN, ID, 836428261Browse ID providers · Browse ZIP 83642
- Phone
- 2087757418
- Fax
- 2086475008
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| KERRIE L PETECH | R.N. ARNP-CNP | 1265414544 |
| MARK A JEPSON | NP | 1306089271 |
| MR. JEREMY LEE HURST | RN, MSN, NP-C | 1275816902 |
| MRS. REBEKAH DANIELLE NATION | APRN, PMHNP-BC | 1134497464 |
| ANN MARIE COREY | N.P. | 1821359522 |
| MS. DEBORAH ANN RUSH | PMHNP | 1518209196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.