DERICA PEREZ APPMHNP NPI 1730554890

NPI Information

NPI: 1730554890
Provider Name: DERICA PEREZ, APPMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4645 SAMUELL BLVD
DALLAS, TX
ZIP 75228
Phone: (214) 275-7393
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Derica Perez, APPMHNP is a psychiatric/mental health nurse practitioner in Dallas, TX. Derica Perez, APPMHNP NPI is 1730554890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4645 SAMUELL BLVD
DALLAS, TX
ZIP 75228-826
Phone: (214) 275-7393

The NPI 1730554890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2015 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP130069	TEXAS	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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