Individual
ANGELA MARIE PERIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-2200
(719) 553-2216
Mailing address
49 WILD ROSE DR, CANON CITY, CO 81212-9468
(719) 371-4248
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
04/03/2026
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