Individual
RICHARD LEE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2195 IRONWOOD CT, COEUR D ALENE, ID 83814-2628
(208) 769-1406
(208) 769-1430
Mailing address
2195 IRONWOOD CT, COEUR D ALENE, ID 83814-2628
(208) 769-1406
(208) 769-1430
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-70A
ID
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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