Individual
DEO M PEPPERSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
217 W GEORGIA AVE STE 120, NAMPA, ID 83686-6812
(208) 498-1760
(208) 498-1761
Mailing address
217 W. GEORGIA AVE. STE 120, NAMPA, ID 83686-2856
(208) 498-1760
(208) 498-1769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NP656A
ID
363LF0000X
Family Nurse Practitioner
Primary
NP656A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP656A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806976700
—
ID
05
—
8083269
—
ID
01
—
NP191
BLUE CROSS
ID
Enumeration date
05/24/2006
Last updated
03/18/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us