Individual
MRS. THERESA EILEEN DEVEAUX
Active
Individual
MRS. THERESA EILEEN DEVEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R093166
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107423
AMERIGROUP
MD
01
—
22500900
CIGNA
MD
05
—
400067600
—
MD
01
—
4992
BRAVO/ELDER HEALTH
MD
01
—
61740701
CAREFIRST BLUE CROSS MD
MD
01
—
F591 0008
CAREFIRST BLUE CROSS DC
DC
Enumeration date
06/02/2005
Last updated
07/20/2016
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