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NPI Code Detail

MEDICARE: IDELETTE BLANCHE PEERY R.N.

MEDICARE:   IDELETTE BLANCHE PEERY  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse526453TX

General Provider Information

NPI Number : 1619036746
Entity Type Code : Individual
Provider Name (Legal Business Name) : IDELETTE BLANCHE PEERY R.N.
Provider Business Mailing Address
First Line : 195 N ESKEW LN
Second Line :
City : CEDAR CREEK
State : TX
Zip : 78612-3235
Country : US
Telephone Number : 512-303-6906
Fax Number :
Provider Business Practice Location Address
First Line : 2010 SEVEN MAPLES DR
Second Line :
City : KINGWOOD
State : TX
Zip : 77345-1726
Country : US
Telephone Number : 281-360-8851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/09/2007

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Directions to “ IDELETTE BLANCHE PEERY R.N.” Practice Location

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