Individual
STACY LEA DEVOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCNS
Contact information
Practice address
400 MATTHEW ST STE 401, MARIETTA, OH 45750-1656
(740) 374-2252
(740) 374-4974
Mailing address
416 COLEGATE DR BLDG 3, MARIETTA, OH 45750-9549
(740) 568-4814
(740) 374-3165
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
APRN.CNS.13383
OH
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
COA.13383-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101019
—
OH
05
—
3810027353
—
WV
Enumeration date
04/17/2013
Last updated
07/16/2021
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