Provider Demographics
NPI:1225037666
Name:PEREZ, SYLVIA IRMA (PMHNP)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:IRMA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S CUCHARAS MOUNTAIN CT
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CO
Mailing Address - Zip Code:80536-8617
Mailing Address - Country:US
Mailing Address - Phone:970-999-4582
Mailing Address - Fax:970-678-0273
Practice Address - Street 1:101 S CUCHARAS MOUNTAIN CT
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CO
Practice Address - Zip Code:80536-8617
Practice Address - Country:US
Practice Address - Phone:970-999-4582
Practice Address - Fax:970-678-0273
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0100324-C-NP363LP0808X, 363LP0808X
TXAP110195363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142137201Medicaid
TX142137203Medicaid
TX142137204OtherCSHCN