Susan M Derivas is a Psychiatric/Mental Health Nurse Practitioner based in Meridian, ID and is specialized in Psychiatric/Mental Health. Susan M Derivas practices in Meridian, ID and has the professional credentials of CNP. The NPI Number for Susan M Derivas is 1851493829 and holds a License No. 64266 (Idaho).
The current practice location address for Susan M Derivas is 4055 E Blueberry St, Meridian, ID and can be reached out via phone at 208-775-7418 and via fax at 208-647-5008.
Identifier | Type | State | Issuer |
---|---|---|---|
208-775-7418 | 01 | SPRUCE HEALTH | |
1032026 | 05 | ID | |
5708247 | 01 | ID | EVERNORTH |
932434 | 01 | AVAILITY ID | |
0062-0104069 | 01 | UNITED HEALTHCARE SERVICES, PROVIDER NO. | |
13961493 | 01 | CAQH PROVIDER ID | |
909072 | 01 | CHANGE HEALTHCARE SUBMITTER ID | |
1851493829 | 01 | CLOZAPINE REMS CERTIFIED | |
396453 | 01 | MASTER BILLING ID (OSMIND) |
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