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Susan Derivas, CNP

NPI 1851493829 · on the registry since 2006 · sole proprietor

Practice

Address
4055 E Blueberry St
Meridian, ID 83642
Phone
(208) 775-7418
Fax
(208) 647-5008
Organisation at this address
Telemental Health Link Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 5700 Harper Dr Ne Ste 210-4, Albuquerque, NM

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho