Individual
MS. DEVRA ELLEN KIEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
35 COLLIER RD NW, SUITE 635, ATLANTA, GA 30309-1613
(404) 367-3014
Mailing address
3075 RIVIERA DR, SARASOTA, FL 34232-4447
(941) 320-7134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9243469
FL
363LF0000X
Family Nurse Practitioner
Primary
RN227529
GA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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