Individual
ANGELA MARIE PERIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2445 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 877-1391
Mailing address
2445 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 877-1391
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
106696
OK
363LF0000X
Family Nurse Practitioner
Primary
APN.0995502-NP
CO
Other
Enumeration date
07/05/2017
Last updated
08/05/2026
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