1851493829 Ms. Susan M Derivas, CNP
Psychiatric/Mental Health Nurse Practitioner
Active
Basic Information
- Full Name
- Ms. Susan M Derivas, CNP
- Gender
- Female
- Enumeration Date
- September 1, 2006
- Last Update
- February 7, 2024
Practice Location
- Address
- 4055 E BLUEBERRY ST
MERIDIAN, ID 836428261 - Phone
- (208) 775-7418
- Fax
- (208) 647-5008
Mailing Address
- Address
- 4055 E BLUEBERRY ST
MERIDIAN, ID 836428261 - Phone
- (208) 775-7418
- Fax
- (208) 674-5008
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | 64266 | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208-775-7418 | 01 | N/A | SPRUCE HEALTH |
| 1032026 | 05 | ID | N/A |
| 5708247 | 01 | ID | EVERNORTH |
| 932434 | 01 | N/A | AVAILITY ID |
| 0062-0104069 | 01 | N/A | UNITED HEALTHCARE SERVICES, PROVIDER NO. |
| 13961493 | 01 | N/A | CAQH PROVIDER ID |
| 909072 | 01 | N/A | CHANGE HEALTHCARE SUBMITTER ID |
| 1851493829 | 01 | N/A | CLOZAPINE REMS CERTIFIED |
| 396453 | 01 | N/A | MASTER BILLING ID (OSMIND) |
Additional Practice Locations
5700 Harper Dr NE Ste 210-4
Albuquerque, NM 871093573
Albuquerque, NM 871093573
Phone: (208) 775-7418
Fax: (208) 647-5008
Frequently Asked Questions
What is Ms. Susan M Derivas, CNP's NPI number?
Ms. Susan M Derivas, CNP's NPI number is 1851493829.
Which doctor has NPI number 1851493829?
The doctor with NPI number 1851493829 is Ms. Susan M Derivas, CNP.
What is Ms. Susan M Derivas, CNP's practice address?
Ms. Susan M Derivas, CNP's practice address is 4055 E BLUEBERRY ST, MERIDIAN, ID, 836428261.
Which doctor practices at 4055 E BLUEBERRY ST, MERIDIAN, ID, 836428261?
Ms. Susan M Derivas, CNP practices at 4055 E BLUEBERRY ST, MERIDIAN, ID, 836428261.
What is Ms. Susan M Derivas, CNP's phone number?
Ms. Susan M Derivas, CNP's phone number is (208) 775-7418.
Who is (208) 775-7418?
(208) 775-7418 is the phone number for Ms. Susan M Derivas, CNP.
What is Ms. Susan M Derivas, CNP's specialty?
Ms. Susan M Derivas, CNP's specialty is Psychiatric/Mental Health Nurse Practitioner.
What type of doctor is Ms. Susan M Derivas, CNP?
Ms. Susan M Derivas, CNP is a Psychiatric/Mental Health Nurse Practitioner.
Is Ms. Susan M Derivas, CNP a Psychiatric/Mental Health?
Yes, Ms. Susan M Derivas, CNP is a Psychiatric/Mental Health.
Is Ms. Susan M Derivas, CNP still practicing?
Yes, Ms. Susan M Derivas, CNP is currently practicing.
Is Ms. Susan M Derivas, CNP accepting new patients?
Ms. Susan M Derivas, CNP may be accepting new patients. Please call their office at (208) 775-7418 to inquire about availability.
Is NPI 1851493829 still active?
Yes, NPI 1851493829 is currently active.
Where does Ms. Susan M Derivas, CNP practice?
Ms. Susan M Derivas, CNP practices in MERIDIAN, ID.
Is Ms. Susan M Derivas, CNP a male or female doctor?
Ms. Susan M Derivas, CNP is a female doctor.