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Individual

MS. DENISE PERUSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2840 S MERIDIAN RD, MERIDIAN, ID 83642-7960
(208) 593-6393
(208) 593-6402
Mailing address
2840 S MERIDIAN RD, MERIDIAN, ID 83642-7960
(208) 593-6393
(208) 593-6402

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
58321
ID
363LF0000X
Family Nurse Practitioner
AP10038
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-58321
ID

Other

Enumeration date
06/20/2017
Last updated
05/15/2024
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