Individual
SHANA LEAH DEVEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 MAIN ST, CLINTON, MA 01510-4022
(518) 322-6095
Mailing address
236 MAIN ST, CLINTON, MA 01510-4022
(518) 322-6095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2348440
MA
363L00000X
Nurse Practitioner
Primary
RN2348440
MA
Other
Enumeration date
12/31/2021
Last updated
08/04/2023
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